This 66yo male is CF OD and 20/200 OS. He has a history of retinal detachment surgery OD, as well as severe glaucoma.
His right eye has a possible morning glory anomaly (no central vessels with possible overlying glial tissue, radiating numerous retinal vessels) versus severe glaucomatous damage.
The intraretinal pigment migration nasally is from the prior detachment. Although he had prior retinal reattachment surgery (presumed from a retinal break), this may also have been from subretinal fluid that is occasionally seen with these anomalous optic nerves.
Learning Points:
The morning glory syndrome is typically unilateral and shares some similarities with optic disc coloboma and juxtapapillary staphyloma. This syndrome is appropriately named after the Morning Glory flower.
The condition is often associated with serous macular detachment.
