Morning glory disc anomaly in a child with esotropia
The present case has been reported in the Journal of Pediatrics.

A 12-year-old boy was referred to ophthalmology clinic to evaluate an ocular deviation on the right eye. His medical and ocular history were unremarkable. Ocular examination revealed a best-corrected visual acuity of 20/200 in the right eye and 20/20 in the left eye, and the right eye was esotropic, at 25 prism diopters according to the Krimsky test.

A right relative afferent pupillary defect was noted. Fundus examination of the right eye demonstrated a large optic disc, with a funnel-shaped excavation surrounded by an area of chorioretinal pigment abnormalities.

A collection of white glial tissue was present at the center of the disc. Multiple anomalous blood vessels emerged from the edge of the disc in a radial pattern. There was no sign of retinal detachment. Examination of the left eye was normal.

Clinical findings were characteristic of morning glory disc anomaly (MGDA). The patient underwent magnetic resonance imaging and magnetic resonance angiography examination of the brain, which did not demonstrate any pathologic sign of frontonasal dysplasia, central nervous system, or carotid circulation abnormalities. Spectacles for the correction of the refractive error were prescribed and a follow-up visit was scheduled in 4 months.

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