Myelinated Nerve Fibers

  • White patches on retinal surface that often surround optic disc
  • May cover large area, as in this picture
  • Congenital anomaly in which retinal nerve fibers are mistakenly myelinated
  • Does not interfere with vision
  • Like white paint spread over retinal surface that obscures vessels
  • If you are confident of diagnosis, reassure patient
  • If not, refer to ophthalmologist non-urgently if no new symptoms
  • Stable condition that does not affect vision
  • Important mainly because it alarms examiners