Association of extensive myelinated nerve fibers and high degree myopia: Case report
نویسندگان
چکیده
Unilateral extensive myelination of the peripapillary nerve fibers may be associated with anisometropic myopia, strabismus, and reduced vision. Myelination of optic nerve fibers terminate at lamina cribrosa. Yet in some patients, myelination progresses into the peripapillary retinal nerve fibers and may affect the visual acuity. In this report, we described 4 patients. All patients presented extensive peripapillary myelinated nerve fibers associated with myopic anisometropia. After routine ophthalmic and orthoptic examinations, all patients underwent treatment for amblyopia through correction with spectacles, contact lenses, and the occlusion of the good eye. Corrected visual acuity improved in 1 patient, but 3 patients had no increase in visual acuity despite treatment with full cycloplegic refraction and appropriate patching. Probably because of structural abnormalies of the macula, visual results are often disappointing with appropriate correction of the refractive error and occlusion.
منابع مشابه
Unilateral Myelinated Retinal Nerve Fibers
87 Dear Editor, I read the photo essay titled “Unilateral Myelinated Retinal Nerve Fibers” with interest.[1] The authors reported a case of unilateral extensive myelination with amblyopia, with partial improvement after occlusion therapy. However, there was no comment about the status of the optic nerve head. Several reports have suggested that myelinated nerve fibers are associated with optic ...
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