• Bundle of nerve fibers (retinal ganglion cells) which carry visual impulses from the macula to the optic nerve
• The word ‘papilla’ here stands for the blind spot – the origin of the optic nerve

Clinical importance:

• Damage to the papillomacular bundle results in impaired central vision (centrocaecal scotoma)
  • eg: In tobacco amblyopia, the papillomacular bundle is damaged

1. Tobacco amblyopia
2. Onodi cells
3. Left bundle branch block
4. Optic nerve sheath fenestration