Abstract | PURPOSE: To present a case demonstrating progression of retinal nerve fiber myelin and to suggest that myelinated retinal nerve fibers be considered among the peripapillary choristomas. METHOD: Case report. A 46-year-old woman demonstrated progression of myelinated retinal nerve fibers and associated retinal vascular anomalies. RESULTS: Myelinated retinal nerve fibers can be progressive. We confirm earlier reports of vascular anomalies associated with retinal nerve fiber myelin and show that they can also be progressive. CONCLUSIONS: The rarely progressive nature of myelinated retinal nerve fibers and the histopathologic studies published to date suggest that myelinated retinal nerve fibers represent a striking ophthalmoscopic feature resulting from ectopic oligodendrocytes; thus, the entity may be described as an oligodendrocytic choristoma.
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Authors | B Rosen, C Barry, I J Constable |
Journal | American journal of ophthalmology
(Am J Ophthalmol)
Vol. 127
Issue 4
Pg. 471-3
(Apr 1999)
ISSN: 0002-9394 [Print] United States |
PMID | 10218709
(Publication Type: Case Reports, Journal Article)
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Topics |
- Choristoma
(pathology)
- Female
- Fundus Oculi
- Humans
- Middle Aged
- Myelin Sheath
- Nerve Fibers
(pathology)
- Optic Nerve
(pathology)
- Retinal Diseases
(pathology)
- Retinal Vessels
(pathology)
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