COMMUNICATION BETWEEN THE SUBRETINAL SPACE AND THE VITREOUS CAVITY INTHE MORNING GLORY SYNDROME

Background: The aim was to describe a pathogenic mechanism for a rhegm atogenous retinal detachment in a 69-year-old man with the morning glo ry syndrome. Methods: During vitreous surgery for a retinal detachment , a membrane was removed that covered the optic disc anomaly and produ ced traction on the peripapillary retina. A retinal hole was found in tissue lying within the optic cup, and the hole was sealed using a aut ologous plasma thrombin mixture. Silicone oil was used for retinal tam ponade. Results: A retinal hole in tissue lying within the optic cup p rovided a fluid pathway between the vitreous cavity and the subretinal space. Following vitrectomy surgery, bubbles of silicone oil passed t hrough the retinal hole into the subretinal space of the macula. Concl usion: This case demonstrates that a retinal hole in tissue lying with in the optic disc anomaly of the morning glory syndrome provides a com munication for fluid between the subretinal space and the vitreous cav ity, resulting in a rhegmatogenous retinal detachment. Vitreous replac ement with silicone oil resulted in the migration of silicone bubbles into the subretinal space.