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Morning Glory Syndrome With Bergmeister Papilla and Retinal Detachment

To identify the key insights or developments described in this article
1 Credit CME

A 3-year-old girl presented with reduced visual acuity in the right eye with poor fixation. Her left eye was normal. No abnormal findings were observed in the anterior segment on slitlamp examination of the right eye. A relative afferent pupillary defect was present in the right eye. Fundus examination revealed a 360° radially wrinkled retina around an enlarged optic disc covered by a tuft of glial tissue. There was a central, elevated tuft of glial tissue over the optic nerve that was identified as a Bergmeister papilla. Approximately 20 retinal vessels of differing calibers radiated from underneath the border of the glial tissue into the peripapillary retina (Figure, A). Optical coherence tomography showed detachment and proliferative change in the nasal retina (Figure, B). No systemic anomaly was found after comprehensive examination. Magnetic resonance imaging and angiography of the brain were performed to exclude basal encephalocele, dysmorphic facial features, cerebrovascular anomalies, and the PHACE (posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies, and eye anomalies) syndrome.

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Article Information

Corresponding Author: Jinling Ge, MD, Jinan Mingshui Eye Hospital, Longquan Road, Jinan 250200, China (gejinling@126.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient’s mother for granting permission to publish this information.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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