Treatment of combined traction-rhegmatogenous retinal detachment in the morning glory syndrome.

A 14-year-old boy had a near total retinal detachment associated with the morning glory optic disc anomaly. A tiny slit-like retinal break with adjacent vitreous traction was found within the coloboma, providing communication between the vitreous cavity and the subretinal space. Vitrectomy, fluid-gas exchange, and postoperative confluent Krypton laser photocoagulation around the optic disc resulted in a successful reattachment of the retina. The retina has remained attached for 14 months.