Question

How to treat retinal nerve fiber layer blurring, and at which stage is it?

Answer

Primary Symptoms: Retinal Nerve Fiber Layer Blurring Onset Time: A few days ago Laboratory Test Results: [Information Missing] The information you provided is insufficient. Let me introduce some common pediatric retinal disorders for your reference.

  1. Congenital Retinal Abnormalities. More common in males, often unilateral. The affected children’s vision is usually normal, but there may be visual field defects in the areas with myelin presence. The fundus examination may show abnormal positioning of the myelinated nerve fibers around the optic disc, appearing as opaque white spots with feather-like edges, consistent with the distortion of the nerve fiber layer.
  2. Premature Infant Retinopathy. Under high oxygen conditions, underdeveloped retinal blood vessels can undergo constriction and obstructive changes. When exposed to relatively low oxygen, the vessels dilate and produce neovascular proliferation, leading to retinopathy. Therefore, premature infants who have received hyperoxygen therapy may develop this condition.
  3. Coats’ Disease. Also known as exudative retinopathy, it is a congenital abnormality of retinal capillaries. However, this disease is more common in 8-12-year-old boys.
  4. Inherited Retinal Degeneration. This is a slowly progressive bilateral fundus disease. It includes several types: Retinal Pigmentary Degeneration. Early symptoms include night blindness and reduced visual field, with vision decline mostly occurring in the later stages. The fundus examination may show disordered retinal pigmentation, initially appearing around the equator and gradually developing to nearly the entire retina except for the macula area. Vitamin A Deficiency Retinopathy. Characterized by slowly progressive bilateral vision loss, photophobia, better vision in the evening compared to daytime, color vision disturbances, and associated with nystagmus. Stargardts Disease, most often occurring around the age of 8-