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Morning glory disc anomaly-associated maculopathy: multimodal imaging
  1. Inae Hwang1 and
  2. Marta Ugarte1,2
  1. 1The University of Manchester, Faculty of Biology, Medicine and Health, Manchester, Greater Manchester, UK
  2. 2Manchester University NHS Foundation Trust, Manchester Royal Eye Hospital, Manchester, UK
  1. Correspondence to Dr Marta Ugarte; marta.ugarte{at}manchester.ac.uk

Abstract

Morning glory disc anomaly (MGDA) is most commonly found in white females in childhood with reduced vision. One in two cases have been reported to develop maculopathy or posterior pole retinal detachment as they grow older. The pathophysiology of MGDA-associated maculopathy is not well understood.

We describe a 31-year-old black woman, who presented with gradual reduction of vision in the right eye due to MGDA-associated maculopathy. We identified morphological characteristics of the optic disc and macula with multicolour and optical coherence tomography imaging.

We speculate that the centripetal inner retina traction and cerebrospinal fluid pressure fluctuation play an important role in inner retinal fluid accumulation in the pathology of retinoschisis in MGDA. Further studies will shed some light of a potential cause-and-effect relationship between MGDA and retinoschisis.

  • moyamoya
  • retina
  • congenital disorders

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Footnotes

  • Contributors Both IH and MU contributed to the patient’s care and preparation of the manuscript text and images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.