Association of extensive myelinated nerve fibers and high degree myopia: Case report
A 9-year-old girl was presented with strabismus. Best corrected visual acuity (BCVA) was 20/300 and 20/20 in the right and left eyes. Cycloplegic autorefractometric measures revealed refractive error of –16.00 (–2.25 α 175 °) dioptry (D) and +1.50 (–0.75 α 5 °) D in the right and left eyes. Biomicroscopic examination was normal, dilated fundus examination was unremarkable in the left eye. Extensive peripapillary myelinated retinal nerve fibers were present in the right eye []. Cover-uncover test revealed constant 40-prism dioptry (PD) right esotropia. A-scan ultrasound biometry showed an axial length of 24.84 mm and 21.03 mm in the right and left eyes. Contact lenses were prescribed, and occlusion therapy 4 hr/day was initiated. The visits were scheduled for 3rd, 6th, and 9th months for monitoring the visual acuity. During the 3 visits, no increase in right BCVA could be achieved [].