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The morning glory disc anomaly (MGDA) is a congenital deformity resulting from failure of the optic nerve to completely form in utero. [1] The term was coined in 1970 by Kindler, noting a resemblance of the malformed optic nerve to the morning glory flower. [2] The condition is usually unilateral. [3]
The optic nerve can be damaged when exposed to direct or indirect injury. Direct optic nerve injuries are caused by trauma to the head or orbit that crosses normal tissue planes and disrupts the anatomy and function of the optic nerve; e.g., a bullet or forceps that physically injures the optic nerve.
In megalopapilla the optic disc diameter exceeds 2.1 mm (or surface area more than 2.5 mm 2 [1]) with an increased cup-to-disc ratio. [2] Although the optic disc is looks abnormal, the disc colour, sharpness of disc margin, rim volume, configuration of blood vessels and intraocular pressure will be normal.
Chart 1 is the basic version, which is the most familiar and widely used chart among all the charts. In this chart the grid consists of 0.5 cm squares (each for 1° visual field), which totally measures 10 cm X 10 cm size. Most commonly grid is in white color with black background. [3]
It presents with visual loss and signs of optic nerve dysfunction, such as loss of color vision, afferent pupil defect, and sometimes abnormalities of the optic disc. The clinical features of AON can be variable and present in several unilateral or bilateral forms: Acute anterior or retrobulbar optic neuritis sometimes associated with pain.
Pages in category "Disorders of optic nerve and visual pathways" The following 15 pages are in this category, out of 15 total. This list may not reflect recent changes .
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The exact mechanism of optic nerve ischemia in these cases remains unclear, but contributing factors may include hypotension, anemia, hypoxia, and changes in the autoregulation of optic nerve arterial blood flow. The incidence of ischemic optic neuropathy leading to vision loss following general surgeries ranges between 0.1% and 0.002%.