Unilateral peripapillary myelinated retinal nerve fibers associated with strabismus, amblyopia, and myopia.
PURPOSE: To describe the association of unilateral peripapillary myelinated retinal nerve fibers with myopia, strabismus, and amblyopia and to propose a possible pathologic mechanism. METHODS: Four patients who have the findings associated with unilateral peripapillary myelinated nerve fibers are described and reviewed. RESULT: All patients had poor visual outcomes despite treatment with full cycloplegic refraction and appropriate patching. CONCLUSIONS: Although the origin of this association is unknown, we believe that peripapillary myelinated nerve fibers in a unilateral myopic eye may be secondary to an imbalance between the process of myelination and the formation of the lamina cribrosa. Good results have been reported with amblyopic therapy; however, it is our experience that these patients are somewhat refractory to amblyopia therapy.[1]References
- Unilateral peripapillary myelinated retinal nerve fibers associated with strabismus, amblyopia, and myopia. Lee, M.S., Gonzalez, C. Am. J. Ophthalmol. (1998) [Pubmed]
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