title: Rare bilateral presentation of morning glory disc anomaly.
abstract: A 4-year-old girl presented with a history of poor vision and oscillation of both eyes since infancy. Ocular examination revealed the best corrected visual acuity of 2/60 in right eye and 3/60 in left eye. Horizontal pendular nystagmus was present in both eyes. Fundus examination revealed morning glory disc anomaly (MGDA) bilaterally. Radiographic imaging of the brain revealed central nervous system anomalies. The guarded visual prognosis was explained and the patient referred for low vision rehabilitation and advised yearly follow-up. MGDA is very rarely bilateral. We aim to highlight the distinguishing features of bilateral MGDA from other excavated optic nerve head anomalies which could also present bilaterally but vary in their associations, management and prognosis.
authors: Smt. Kanuri Santhamma centre for Vitreo-Retinal diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India.
authors: Chintan Jethalal
authors: http://orcid.org/0000-0001-5475-2089
authors: CJ
authors: Dedhia
authors: Department of Cornea and Anterior Segment, LV Prasad Eye Institute, Hyderabad, Telangana, India.
authors: Pratik Yeshwant
authors: PY
authors: Gogri
authors: LV Prasad Eye Institute, Hyderabad, Telangana, India.
authors: Padmaja Kumari
authors: PK
authors: Rani
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009898:Optic Disk / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D015354:Vision, Low / Q000209:etiology / Q000534:rehabilitation