Hittner H M, Antoszyk J H
Arch Ophthalmol. 1987 Jul;105(7):943-8. doi: 10.1001/archopht.1987.01060070079033.
This report describes 12 patients with unilateral peripapillary myelinated nerve fibers associated with myopia and/or amblyopia. Seven patients had myopia with a mean of -13.00 diopters of anisometropia and abnormal maculae varying from a decreased reflex to pigment dispersion. These patients had final visual acuities of 20/200 or less following conventional amblyopia therapy. In contrast, five patients had myopia with a mean of -3.75 diopters of anisometropia and normal maculae. These patients had final visual acuities of 20/30 or greater with identical therapy. There was a statistically significant difference between the mean diopters of anisometropia of these two groups. However, the range of diopters of anisometropia overlapped, and the critical feature that determined which patients could achieve good vision was the macular appearance. This condition is distinct from simple unilateral myopia with amblyopia and from myelinated nerve fibers without myopia or amblyopia.
本报告描述了12例伴有近视和/或弱视的单侧视乳头周围有髓神经纤维患者。7例患者患有近视，平均屈光参差为-13.00屈光度，黄斑异常，从反射减弱到色素沉着不等。这些患者在接受传统弱视治疗后，最终视力为20/200或更低。相比之下，5例患者患有近视，平均屈光参差为-3.75屈光度，黄斑正常。这些患者接受相同治疗后，最终视力为20/30或更好。这两组患者的平均屈光参差有统计学显著差异。然而，屈光参差的范围有重叠，决定哪些患者能获得良好视力的关键特征是黄斑外观。这种情况不同于单纯的单侧近视合并弱视以及无近视或弱视的有髓神经纤维。
