Singh Deependra Vikram, Sharma Yog, Reddy Raja Rami, Sharma Ajay
Retina Services, Eye-Q Superspecialty Eye Hospitals, Gurugram, Haryana, India
Dr R P Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2021 Jul 27;14(7):e244329. doi: 10.1136/bcr-2021-244329.
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.
牵牛花盘状病变（MGD）已知会发展为继发性黄斑病变和视力丧失。我们对一名右眼患有MGD的7岁女孩从2010年至2021年进行了随访。直到2017年，她双眼的最佳矫正视力（BCVA）均为20/20。2018年，她右眼视力下降，BCVA为20/80。光学相干断层扫描（OCT）显示右眼存在与MGD相关的黄斑病变以及黄斑中央凹颞侧的弓形卵黄样神经感觉脱离（V-NSD）。她接受了25G玻璃体切除术并进行了内界膜剥除。术后通过OCT和眼底自发荧光（FAF）分析视网膜劈裂和V-NSD的消退情况。弓形V-NSD在FAF上呈高荧光，且与视盘同心。它消退缓慢，术后18个月和30个月时BCVA改善至20/20。我们报告了早期玻璃体切除术治疗MGD相关黄斑病变的良好结果，并建议进行系列随访，且当出现牵拉和BCVA恶化时考虑早期玻璃体切除术。我们还描述了与MGD相关的弓形V-NSD。
