Regression of myelinated retinal nerve fibers in a glaucomatous eye.

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.