Our Summary

The study looks at a condition called Morning Glory Disc Anomaly (MGDA), which is often linked to a high chance of retinal detachment (RD), a serious eye condition that can lead to vision loss. This study focused on the results of surgery to fix RD in patients with MGDA. They looked back at the medical records of 9 patients who underwent a particular type of surgery called pars plana vitrectomy (PPV) for RD related to MGDA.

In 55.5% of the cases, they removed the lens during the surgery, and they used a laser to treat the area around the disc in the same percentage of cases. In 77.7% of the cases, they used a silicone oil, while in 22.3% of the cases they used a gas tamponade, both of which help to hold the retina in place. At the final check-up, 66% of the patients had a retina that stayed in place after the surgery.

The study also found that if patients had certain tissue present at the disc before the surgery, they had a higher chance of a poor result. But, if patients had the silicone oil tamponade, they had a higher chance of a good result. In cases where they couldn’t find any breaks in the retina before the surgery, 80% of them had a retina that stayed in place after the surgery. Vision improved slightly in 67% of all the patients who had the surgery.

In conclusion, MGDA-related RD is a complex condition to treat, but careful surgery can lead to good results in about two-thirds of patients.

FAQs

  1. What is the Morning Glory Disc Anomaly (MGDA) and how is it associated with retinal detachment?
  2. What surgical procedures are typically performed to treat retinal detachment associated with MGDA?
  3. What are the outcomes of retinal detachment surgery in patients with MGDA?

Doctor’s Tip

A helpful tip a doctor might tell a patient about retinal detachment surgery is to follow post-operative instructions carefully, including avoiding strenuous activities and attending follow-up appointments to monitor the healing process. It is important to report any changes in vision or symptoms to the doctor immediately to ensure the best possible outcome.

Suitable For

Patients with morning glory disc anomaly (MGDA) who develop retinal detachment are typically recommended retinal detachment surgery. This study found that pars plana vitrectomy (PPV) with or without lensectomy, laser photocoagulation, and silicone oil tamponade can help achieve successful anatomical and functional outcomes in about two-thirds of patients with MGDA-related RD. Patients with preoperative glial tissue at the disc and those requiring silicone oil tamponade may have a poorer outcome, while those without identifiable breaks preoperatively may have a higher chance of achieving retinal reattachment postoperatively. Vision improvement was seen in two-thirds of patients who underwent surgery for MGDA-related RD.

Timeline

  • Patient experiences symptoms such as flashes of light, floaters, or a curtain-like shadow in their vision
  • Patient visits an ophthalmologist for an eye exam and is diagnosed with retinal detachment
  • Patient undergoes preoperative testing and evaluation to determine the extent of the detachment and plan for surgery
  • Surgery is scheduled and the patient undergoes pars plana vitrectomy (PPV) for retinal detachment associated with morning glory disc anomaly
  • Lensectomy may be performed during PPV in some cases
  • Laser photocoagulation around the disc may be performed
  • Tamponade with silicone oil or gas may be used to support the retina during healing
  • Postoperative follow-up visits are scheduled to monitor the healing process
  • At final follow-up, the success of the surgery is assessed based on the attachment of the retina and improvement in vision
  • Factors such as the presence of preoperative glial tissue at the disc and the use of silicone oil tamponade may influence the outcome of the surgery
  • Overall, about two-thirds of patients achieve a successful anatomical and functional outcome after surgery for retinal detachment associated with morning glory disc anomaly.

What to Ask Your Doctor

Some questions a patient should ask their doctor about retinal detachment surgery in the context of morning glory disc anomaly may include:

  1. What is the success rate of retinal detachment surgery in eyes with morning glory disc anomaly?
  2. What surgical techniques will be used during the procedure?
  3. Will lensectomy be performed during the surgery?
  4. Will laser photocoagulation be used around the disc?
  5. Will silicone oil or gas tamponade be used after the surgery?
  6. Are there any factors that may impact the outcome of the surgery in my case?
  7. What are the potential complications or risks associated with the surgery?
  8. How long is the recovery process expected to be?
  9. What is the expected outcome in terms of both anatomical and functional results?
  10. How frequently will follow-up visits be needed after the surgery?

Reference

Authors: Sen P, Maitra P, Vaidya H, Bhende P, Das K. Journal: Indian J Ophthalmol. 2021 Aug;69(8):2116-2121. doi: 10.4103/ijo.IJO_189_21. PMID: 34304189