What about morning glory syndrome?
Morning glory syndrome is a congenital abnormal development of optic papilla. Kindler was named by 1970 according to the fact that the fundus is still like a blooming morning glory. This disease is rare, first reported in China (1985), and later discovered. The formation mechanism of this congenital malformation is not clear, which may be a type of optic nerve defect at the entrance, or it may be related to the abnormal development of glia in the central area of the optic papilla. There is no gender difference between patients. Most of them are unilateral, and the visual acuity of the affected eyes is poor from childhood, and the central visual acuity is between 0.02 and 0.02. Congenital strabismus often occurs as a result. Often accompanied by high myopia, nystagmus and so on. The area of optic papilla is obviously enlarged under the endoscope, which can generally reach 4~5PD. It is pink, with a funnel-shaped depression in the center, and the bottom of the depression is filled with cotton wool-like substances. There are a dozen or twenty blood vessels with different thicknesses going out from the edge of the filler and going straight to the periphery, so it is difficult to distinguish between arteries and veins. There are broad yellow-white or gray-black annular protrusions around the optic papilla. There are several pieces of pigment in it. There is also a concentric choroidal retinal atrophy area. Macular involvement. FFA can't see the blood vessels hidden by the cotton wool filler in the center of the depression, but if the filler is thin, you can vaguely see the branches of the great retinal vessels. So Krause( 1972) thinks that these abnormal blood vessels come from the central retinal vessels, not ciliary vessels. Retinal detachment can sometimes occur in the posterior pole of eye disease. According to Kindler( 1970), detachment is caused by abnormal leakage of retinal blood vessels. Recently, however, many authors have found holes, most of which are located in the optic papilla or at the edge of the optic papilla. Vitrectomy combined with intraocular laser can reset retina.