Síndrome de Morning Glory

Abstract

In this degree work, a clinical case observed at the General Teaching Provincial Hospital from Riobamba is presented, a 17-year-old patient with an ophthalmological history and strabismus surgery of the right eye, +/- 7 years ago. In spite of the surgery performed, the patient went to the clinic because he continued to present a deviation from it and a decrease in visual acuity. The complete ophthalmological physical examination was conducted, with measurement of visual acuity, intraocular pressure, ocular fundus and biomicroscopy with slit lamp. As follow-up, complementary imaging tests were performed consisting of ocular echo and Optical Coherence Tomography (OCT). The lack of follow-up in our patient after strabismus surgery caused a late diagnosis of this pathology, therefore visual acuity of the right eye ended in total loss of vision due to retinal detachment. It was concluded that this syndrome may be an isolated finding or it may be associated with other pathologies as in this case. Frequent ophthalmological check-ups are recommended in patients suffering from ophthalmological pathologies such as nystagmus, strabismus, amblyopia, in addition it should not be confused with that of an optic nerve coloboma, the timely diagnosis can avoid the most serious complication of this syndrome that is known as retinal detachment.