Bilateral myelinated nerve fiber layers, high hyperopia, and amblyopia

Saad H Alenezi; Rawan Al-Shabeeb; Hani B AlBalawi; Samar A Al-Swailem

doi:10.4103/1319-4534.310413

Bilateral myelinated nerve fiber layers, high hyperopia, and amblyopia

Saudi J Ophthalmol. 2021 Feb 27;34(3):209-211. doi: 10.4103/1319-4534.310413. eCollection 2020 Jul-Sep.

Authors

Saad H Alenezi^{1

2}, Rawan Al-Shabeeb², Hani B AlBalawi³, Samar A Al-Swailem²

Affiliations

¹ Department of Ophthalmology, College of Medicine, Majmaah University, Al Majma'ah, Saudi Arabia.
² Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
³ Department of Ophthalmology, College of Medicine, Tabuk University, Tabuk, Saudi Arabia.

Abstract

We report a case of bilateral myelinated nerve fiber layer (MNFL) in a 24-year-old male with high hyperopia and amblyopia. He presented with poor vision bilaterally since childhood and was evaluated for ophthalmic and systemic diseases. Retinal examination indicated MNFLs in both eyes. The presence of bilateral MNFL associated with axial hypermetropia is rare. Ametropia seems to have a stronger influence on the relative visual acuity than the presence of retinal nerve fiber myelination. Early detection of ametropia and correction with glasses might prevent further deterioration of vision.

Keywords: Amblyopia; ametropia; hypermetropia; myelinated nerve fiber layers.

Publication types

Case Reports