Myelinated Fibers

• Non progressive, congenital condition.

Clinical Features

• Symptoms:
  • May be asymptomatic
  • Various degree of decreased vision and scotoma may occur when extensive myelination involve the retina
• Signs:
  • White, feathery-edged configuration of the nerve fiber layer
  • Usually continuous to the optic disc
  • May also develop in the periphery, away from the disc
• Has been reported to be associated with myopia, amblyopia, strabismus, nystagmus, optic neuritis, retinal neovascularization and vitreous hemorrhage

Management

• Observation