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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

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.



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:

© 2013 American Academy of Optometry