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Regression of Myelinated Retinal Nerve Fibers in a Glaucomatous Eye

Sowka, Joseph W.*; Nadeau, Michelle J.

doi: 10.1097/OPX.0b013e3182968b1a
CLINICAL COMMUNICATIONS: Clinical Cases

Purpose The purpose of this study is to present a case of a patient with primary open angle glaucoma and poorly controlled intraocular pressure, who underwent photodocumented atrophy of myelinated retinal nerve fibers.

Case Report A 48-year-old woman with high myopia, refractive amblyopia, and extensive myelination of retinal nerve fibers underwent profound atrophy and regression of the myelination during an 8-year period.

Conclusions Myelinated retinal nerve fibers can atrophy and regress because of neurodegenerative conditions such as glaucoma.

*OD, FAAO

OD

College of Optometry, Nova Southeastern University, Ft. Lauderdale, Florida.

Joseph W. Sowka, College of Optometry, Nova Southeastern University, 3200 South University Drive, Ft. Lauderdale, FL 33322; e-mail: jsowka@nova.edu.

© 2013 American Academy of Optometry