Unilateral peripapillary myelinated retinal nerve fibers associated with strabismus, amblyopia, and myopia

Lee Michael S, Caleb Gonzalez

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)554-556
Number of pages3
JournalAmerican journal of ophthalmology
Volume125
Issue number4
DOIs
StatePublished - Apr 1998
Externally publishedYes

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