Fibrin sealant in the treatment of retinal detachment in morning glory syndrome.
OBJECTIVE
To report the usage of fibrin sealant in the treatment of retinal detachment in morning glory syndrome.


METHODS
A case report of an 8-year-old boy with a recent, macula-off, inferior, bullous retinal detachment associated to his morning glory syndrome that was first treated by a pneumatic retinopexy. The following day, his examination revealed a total retinal detachment and subretinal gas. The patient underwent a 25-gauge pars plana vitrectomy, incomplete peeling of the glial tuft, 360° laser photocoagulation around the peripapillary staphyloma, 20% perfluoropropane endotamponade, and fibrin sealant injection to temporarily plug the slitlike retinal break visualized on the inferior border of the peripapillary staphyloma.


RESULTS
Complete reattachment of the retina persisted after 6 months of follow-up with slight improvement in visual acuity noted by the patient.


CONCLUSIONS
The authors believe that the usage of fibrin sealant seems to be a useful alternative in cases of retinal detachment related to morning glory syndrome with deep posterior peripapillary staphyloma, especially when persistent residual traction is suspected.
From the Retina Service, Department of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada.
Marc G
MG
Saab
Ghassan P
GP
Cordahi
Flavio A
FA
Rezende