A Patient of True Median Cleft Lip With Unilateral Anophthalmia and Morning Glory Syndrome

True median cleft lip is an anomaly accounting for ∼0.1% to 0.7% of all cleft lip and palate cases, and its co-occurrence with multispectral bilateral ocular anomalies remains undocumented. The authors report a unique case of true median cleft lip concomitantly associated with left anophthalmia—characterized by the complete absence of the globe—and right morning glory syndrome, a rare congenital optic disc anomaly featuring a deeply excavated papilla with a central plug of white glial tissue. The patient, a male infant, presented with a midline upper lip fissure and an intact brain parenchyma. At 6 months of age, surgical repair of the lip and excision of an associated maxillary alveolar cartilaginous hamartoma were performed. This represents the first reported case globally demonstrating this specific triad, providing critical embryological insights into early, continuous morphogenetic disruptions affecting both midline facial and ocular co-development.

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Publication Details

Journal
Journal of Craniofacial Surgery
Published
2026-08-20
DOI
https://doi.org/10.1097/scs.0000000000013307
Primary Topic
Ocular Disorders and Treatments
Type
article
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article

A Patient of True Median Cleft Lip With Unilateral Anophthalmia and Morning Glory Syndrome

Nobuyuki Mitsukawa, Tomoaki Kuroki, Haruna Tokunaga, Takuji Yokoyama
Journal of Craniofacial Surgery
Ocular Disorders and Treatments
article

A Patient of True Median Cleft Lip With Unilateral Anophthalmia and Morning Glory Syndrome

Nobuyuki Mitsukawa, Tomoaki Kuroki, Haruna Tokunaga, Takuji Yokoyama
article en

Abstract

True median cleft lip is an anomaly accounting for ∼0.1% to 0.7% of all cleft lip and palate cases, and its co-occurrence with multispectral bilateral ocular anomalies remains undocumented. The authors report a unique case of true median cleft lip concomitantly associated with left anophthalmia—characterized by the complete absence of the globe—and right morning glory syndrome, a rare congenital optic disc anomaly featuring a deeply excavated papilla with a central plug of white glial tissue. The patient, a male infant, presented with a midline upper lip fissure and an intact brain parenchyma. At 6 months of age, surgical repair of the lip and excision of an associated maxillary alveolar cartilaginous hamartoma were performed. This represents the first reported case globally demonstrating this specific triad, providing critical embryological insights into early, continuous morphogenetic disruptions affecting both midline facial and ocular co-development.

Journal of Craniofacial Surgery
Chiba University (JP), University of Kochi (JP), Kōchi University (JP)
Openalex Percentile: Top 10%
Ocular Disorders and Treatments
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A Patient of True Median Cleft Lip With Unilateral Anophthalmia and Morning Glory Syndrome — Nobuyuki Mitsukawa, Tomoaki Kuroki, et al. · Journal of Craniofacial Surgery (2026) | TGRS Research Map | TGRS