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