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  • Arcuate Vitelliform detachment with morning glory disc maculopathy: OCT findings of evolution and resolution after early surgery

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Case report
Arcuate Vitelliform detachment with morning glory disc maculopathy: OCT findings of evolution and resolution after early surgery
  1. Deependra Vikram Singh1,
  2. Yog Sharma2,
  3. Raja Rami Reddy3 and
  4. Ajay Sharma1
  1. 1Retina Services, Eye-Q Superspecialty Eye Hospitals, Gurugram, Haryana, India
  2. 2Dr R P Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India
  3. 3Retina Services, Neo Retina Eye Institute, Nampalli, Hyderabad, India
  1. Correspondence to Dr Deependra Vikram Singh; deependravsingh{at}hotmail.com

Abstract

Morning glory disc (MGD) is known to develop secondary maculopathy and vision loss. We followed a 7-year-old girl with MGD in right eye from 2010 to 2021. Her best-corrected Snellen visual acuity (BCVA) was 20/20 in both eyes till 2017. She presented with reduced vision in right eye with BCVA of 20/80 in 2018. Optical Coherence Tomography (OCT) revealed maculopathy related to MGD in right eye and arcuate Vitelliform neurosensory detachment (V-NSD) temporal to fovea. She underwent 25G vitrectomy with internal limiting membrane peeling. Resolution of retinoschisis and V-NSD was analysed by OCT and fundus autofluorescence (FAF) postoperatively. Arcuate V-NSD was hyperfluorescent on FAF and concentric to optic disc. It resolved slowly with BCVA improving to 20/20 at 18 and 30 months postoperatively. We report excellent outcome following early vitrectomy for MGD-related maculopathy and recommend serial follow-up and considering early vitrectomy whenever traction and BCVA worsens. We also describe arcuate V-NSD with MGD.

  • ophthalmology
  • macula
  • retina

http://dx.doi.org/10.1136/bcr-2021-244329

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    Footnotes

    • Contributors DVS: conception and design, acquisition of data, writing of manuscript, final editing. YS: interpretation of data and revising it critically. RRR: concept of manuscript, review, plagiarism check, final editing. AS: collection of data, literature search, final approval.

    • 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.

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