Retrolental Fibroplasias: What Lies Beneath?

Overview

Journal GMS Ophthalmol Cases

Specialty Ophthalmology

Date 2020 Apr 10

PMID 32269912

Authors

Parveen Sen

Dhaivat Shah

Affiliations

Soon will be listed here.

Abstract

A nine-month-old female baby with normal birth history presented with her mother complaining of a white spot in the baby's right eye, which the mother had noticed at five months of age. External photograph showed a retrolental fibroplastic membrane visible in the superior half of the dilated pupil. Retcam fundus photo revealed myelinated nerve fibers extending from the disc till the ora superiorly and forming a membranous fold. Intraoperative OCT confirmed thickened RNFL with compact retina. Thus, the retrolental fibroplasia turned out to be a masquerade for myelinated nerve fibers. Since it was not involving the visual axis with no coexisting traction, the mother was reassured regarding the benign nature of the condition.

References

Gharai S, Prakash G, Kumar D, Jacob S, Agarwal A, Arora V . Spectral domain optical coherence tomographic characteristics of unilateral peripapillary myelinated retinal nerve fibers involving the macula. J AAPOS. 2010; 14(5):432-4. DOI: 10.1016/j.jaapos.2010.05.010. View

Shelton J, Digre K, Gilman J, Warner J, Katz B . Characteristics of myelinated retinal nerve fiber layer in ophthalmic imaging: findings on autofluorescence, fluorescein angiographic, infrared, optical coherence tomographic, and red-free images. JAMA Ophthalmol. 2013; 131(1):107-9. DOI: 10.1001/jamaophthalmol.2013.560. View

HUNTER S, Leavitt J, Rodriguez M . Direct observation of myelination in vivo in the mature human central nervous system. A model for the behaviour of oligodendrocyte progenitors and their progeny. Brain. 1997; 120 ( Pt 11):2071-82. DOI: 10.1093/brain/120.11.2071. View

FitzGibbon T, Nestorovski Z . Morphological consequences of myelination in the human retina. Exp Eye Res. 1998; 65(6):809-19. DOI: 10.1006/exer.1997.0388. View