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Extensive Myelination of the Retinal Nerve Fiber Layer

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1 Credit CME

An 11-year-old girl presented with decreased vision in the right eye since childhood. Visual acuity was counting fingers OD and 20/20 OS. Refractive error was −14 diopters in the right eye. Results of the anterior segment examination were normal. Fundus examination of the right eye showed extensive, white, flame-shaped streaks radiating along the path of the nerve fiber layer, consistent with myelinated retinal nerve fibers (Figure). The left eye was emmetropic and normal.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Pratyusha Ganne, MS, Department of Ophthalmology, All India Institute of Medical Sciences, Mangalagiri, Guntur 522503, India (pratyusha080@gmail.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
1.
Tarabishy  AB , Alexandrou  TJ , Traboulsi  EI .  Syndrome of myelinated retinal nerve fibers, myopia, and amblyopia: a review.   Surv Ophthalmol. 2007;52(6):588-596. doi:10.1016/j.survophthal.2007.08.016PubMedGoogle ScholarCrossref
2.
Straatsma  BR , Heckenlively  JR , Foos  RY , Shahinian  JK .  Myelinated retinal nerve fibers associated with ipsilateral myopia, amblyopia, and strabismus.   Am J Ophthalmol. 1979;88(3 pt 1):506-510. doi:10.1016/0002-9394(79)90655-XPubMedGoogle ScholarCrossref
3.
Lam  AK , Pang  PC .  The effect of myelination on perimetry and retinal nerve fibre analysis.   Clin Exp Optom. 2000;83(1):4-11. doi:10.1111/j.1444-0938.2000.tb05069.xPubMedGoogle ScholarCrossref
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