A man presented for a routine eye checkup. His best-corrected visual acuity was 20/20 OU. An anterior segment examination had normal results in both eyes. A fundus examination of the left eye showed white, flame-shaped streaks starting from the disc and radiating along the path of the nerve fiber layer, consistent with myelinated nerve fibers (Figure). The fundus of the right eye was normal.
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Ganne P. Unilateral Myelination of Retinal Nerve Fiber Layer. JAMA Ophthalmol. 2020;138(9):e195677. doi:10.1001/jamaophthalmol.2019.5677
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