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We present a 51-year-old female with a unilateral congenital excavated optic disc anomaly. After clinical examination and appropriate diagnostic procedures we were unable to determine with certainty whether it is a morning glory anomaly or a peripapillary staphyloma. The atypical fi nding was an optic disc with characteristics of both states. The affected eye had almost normal visual acuity (0.9 Snellen chart), which is a rare fi nding in congenital anomaly of the optic disc. Confocal scanning laser ophthalmoscopy (Heidelberg Retina Tomograph, HRT 3.0) was not of diagnostic value in comparison with optical coherence tomography (OCT).

Atypical form of congenital excavated anomaly of the optic disc with characteristics of Peripapillary staphyloma and morning glory anomaly