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Arch Ophthalmol. 1998;116:253-254.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The morning glory disc anomaly comprises a congenital excavation of the peripapillary fundus, enlargement of the optic disc, anomalous peripapillary glial tissue, and a complex pattern of retinovascular anomalies.¹ Unlike other optic disc anomalies, the morning glory disc anomaly is consistently associated with a profound retinal vascular dysgenesis. We describe a patient who had signs of middle cerebral artery occlusion and moyamoya vessels ipsilateral to a morning glory disc anomaly.

Report of a Case

A 5-year-old Asian boy was evaluated for decreased vision in the left eye of unknown duration. His birth, developmental, and medical histories were unremarkable. Visual acuity was 20/25 OD and 20/100 OS. A left relative afferent pupillary defect was present. Funduscopic examination in the left eye (Figure 1) revealed a morning glory disc anomaly, a persistent hyaloid artery, and a chronic macular hole accompanied by rhegmatogenous retinal detachment limited to the posterior pole.

Figure appears in full text version. Figure 1. Fundus photograph of . . . [Full Text of this Article]

Comment
Mina Massaro, MD; Olafur Thorarensen, MD; Grant T. Liu, MD; Albert M. Maguire, MD; Robert A. Zimmerman, MD
Philadelphia, Pa

Michael C. Brodsky, MD
Little Rock, Ark

Reprints: Grant T. Liu, MD, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104.

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