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By Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS
Lotus eye hospital
Co-author(s): Lotus eye hospital, Salem, India - Uploaded on May 5, 2021.
- Last modified by Caroline Bozell on May 6, 2021.
- Rating
- Appears in
- Miscellaneous
- Condition/keywords
- myelinated nerve fibers
- Imaging device
- Fundus camera
- Description
- A 31-year-old male presented with a decreased vision of 20/125 N24 with -6.50 DS/-3.50 cyl 90 in the left eye. Fundus examination revealed peripapillary MNF progressing superiorly, obscuring disc and vessels and sparing the macula. OCT of ONH showed hyper reflective NFL and an abrupt ending of RPE and inner retinal layers (IRL) with underlying shadowing at the beginning of hyper reflectivity. The absence of photoreceptor integrity line (PIL) in the macula is believed to cause refractory amblyopia in such patients.