Bilateral Peripapillary Retinal Nerve Fiber Layer Myelination in a 26-Year-Old Man

Myelination is an uncommon condition that rarely causes visual impairment. We report a case of a young man with bilateral peripapillary nerve fiber layer myelination and visual impairment. The patient's complaints, clinical history, and systemic review were noted. Visual acuity test, objective and subjective refraction, ocular motility, fundus examination, optical coherence tomography, and low vision test, were performed. We compared our findings with published articles. We suggest that optic neuropathy was the cause of visual impairment in the patient.