Morning glory syndrome: clinical, computerized tomographic, and ultrasonographic findings

Abstract

Objective: To evaluate the ophthalmic, radiologic, and ultrasonographic findings in morning glory syndrome.

Patients and methods: Retrospective review of patients' charts.

Results: Twenty-one patients were included. Visual acuity was 20/200 or better in 50% of the eyes. Three eyes developed a retinal detachment. When computerized tomography of the orbit demonstrated peripapillary scleral staphyloma and intraocular calcifications, this correlated with poor visual acuity. Computerized tomography of the brain revealed abnormalities in three asymptomatic patients. B-scan ultrasonography demonstrated retinal tissue overhanging the peripapillary scleral staphyloma.

Conclusions: Morning glory syndrome has a spectrum of severity, with most patients retaining useful vision. Orbital and cerebral computerized tomography scan as well as B-scan ultrasonography may help with diagnosis and management.