Abstract
The objective is to evaluate the clinical features of unilateral myelinated retinal nerve fibers (MRNF) associated with ipsilateral myopia and amblyopia. We retrospectively analyzed three patients with unilateral MRNF associated with ipsilateral myopia and amblyopia. The ages at presentation range from 4 to 10 years. Refractive error in affected eye ranged from S-6.25DC-2.00D toS-9.75DC-1.25D40. Anisometropia ranged from 6.75D to 10.50D. Best corrected visual acuity in affected eye ranged from 0.04to 0.2. Strabismus was documented in 2 of 3 patients. All patients underwent amblyopic treatment, which included prescription of full cycloplegic refraction and patching of the no amblyopic eye. However, all patients had a uniformly poor visual outcome. We should beware of the limited prognosis in patients with unilateral MRNF associated with ipsilateral myopia and amblyopia.
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