title: Cryptic uveitis in a patient with morning glory syndrome.
abstract: BACKGROUND
  A 71-year-old female presented on 3 occasions with escalating pain in a congenitally blind eye. Examination revealed hypertensive uveitis with morning glory optic disc dysplasia and absence of a crystalline lens. There was no previous intraocular surgery or trauma. Intensive anti-hypertensive agents and topical steroids did not control intraocular pressure (IOP) or inflammation.
  
  
  RESULTS
  Dilated fundus examination on the third clinical review revealed a luxated cataractous lens on the retina. Pars plana vitrectomy and fragmatome lensectomy controlled inflammation and IOP, with resolution of ocular pain.
  
  
  CONCLUSIONS
  This is an exceptional case of phacogenic uveitis with secondary glaucoma occurring years after spontaneous crystalline lens luxation in a patient with morning glory syndrome. The embryological pathogenesis of morning glory syndrome and the significance of accelerated cataractogenesis and zonular weakness are discussed. Hypertensive uveitis with unexplained absence of a crystalline lens in a blind eye must prompt suspicion of delayed phacogenic uveitis following asymptomatic lens luxation.
authors.affiliation: Stoke Mandeville Hospital, Department of Ophthalmology , Aylesbury , UK.
authors.forename: Imran H
authors.initials: IH
authors.lastname: Yusuf
authors.forename: Tomas R
authors.initials: TR
authors.lastname: Burke
authors.forename: Richard
authors.initials: R
authors.lastname: Bates
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005901:Glaucoma / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure; D007906:Lens Subluxation / Q000150:complications* / Q000175:diagnosis; D007908:Lens, Crystalline / Q000002:abnormalities*; D013577:Syndrome; D014605:Uveitis / Q000175:diagnosis / Q000209:etiology*
keywords: Lens luxation; morning glory syndrome; optic dysplasia; phacogenic glaucoma; phacogenic uveitis; zonular weakness