Progressive myelination of the retinal nerve fibre layer associated with a lamina cribrosa cleft.

Myelination of the retinal nerve fibre layer (MNFL) is generally an incidental asymptomatic finding on fundus exam. While MNFL is thought to be a congenital and stationary finding, there have been cases of acquired and progressive MNFL reported. Here, we discuss a case where a girl in middle childhood presented with reading difficulties and was found to have normal vision and MNFL superior to the left optic disc.