Morning glory disc anomaly of the second cranial nerve with salt-and-pepper-like retinopathy

Abstract

Morning glory disc anomaly (MGDA), commonly seen in females, is a congenital, funnel-shaped staphylomatous excavation of peripapillary retina and optic nerve involving the second cranial nerve head. The anomaly gets its name owing to its resemblance to a flower with the same name. We report a rare case of congenital papilla anomaly in a 21-year-old female patient who presented with diminution of vision and ocular deviation. The objective was to analyze and report functional impairment caused by the anomaly to the patient and its rare association with salt-and-pepper-like retinopathy. After thorough examination and investigations, a diagnosis of MGDA with salt-and-pepper pigmentary retinopathy associated with strabismus was made. Owing to the long-standing strabismus reported in the case, treatment included parental counseling about guarded visual prognosis and cosmetic surgical correction for strabismus.