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Open Access Publications from the University of California

Bilateral Acquired Progressive Retinal Nerve Fiber Layer Myelination.

  • Author(s): Dean, Moena
  • Kirschen, David
  • Hubschman, Jean Pierre
  • Straatsma, Bradley R
  • Sarraf, David
  • Francone, Anibal
  • et al.

The authors present the multimodal imaging findings of an unusual case of bilateral acquired progressive myelination of the optic disc during a 10-year follow-up period in a hyperopic adolescent patient in the absence of an underlying ocular or systemic abnormality. Myelination of the left optic disc was noted at age 7 and of the right optic disc at age 13, but no other ocular or systemic abnormalities were identified. Cross-sectional optical coherence tomography (OCT) and en face OCT angiography confirmed the presence of myelination of the retinal nerve fiber layer and excluded other etiologic possibilities including an astrocytic hamartoma. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e147-e150.].

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