This patient has morning glory syndrome. The left optic nerve appears to have a large optic disc excavation with radial vessels, central glial tissue, and peripapillary atrophy (PPA) and pigmentation.
Visual prognosis is usually poor.
Learning Points:
The morning glory syndrome is typically unilateral and shares some similarities with optic disc coloboma and juxtapapillary staphyloma.
The condition is often associated with serous macular detachment. Neuroimaging should be considered to rule out transsphenoidal encephalocele and intracranial carotid artery dysgenesis.
