This patient has a classic morning glory optic disc, including a large disc, an area of central glial tissue, and numerous straight radiating vessels.
Learning Points:
Morning glory syndrome is typically unilateral and shares some similarities with optic disc coloboma and juxtapapillary staphyloma. This abnormality gets its name from its striking resemblance to the Morning glory flower. Visual prognosis is usually poor. The condition can be associated with serous macular detachment.
Neuroimaging should be considered to rule out transsphenoidal encephalocele and intracranial carotid artery dysgenesis.
For a great review on the pathogenesis and treatment of maculopathy associated with cavitary optic disc anomalies, see Jain and Johnson, AJO 2014;158:423-435.
