Bilateral myelinated nerve fiber layers, high hyperopia, and amblyopia.

We report a case of bilateral myelinated nerve fiber layer (MNFL) in a 24-year-old male with high hyperopia and amblyopia. He presented with poor vision bilaterally since childhood and was evaluated for ophthalmic and systemic diseases. Retinal examination indicated MNFLs in both eyes. The presence of bilateral MNFL associated with axial hypermetropia is rare. Ametropia seems to have a stronger influence on the relative visual acuity than the presence of retinal nerve fiber myelination. Early detection of ametropia and correction with glasses might prevent further deterioration of vision.