Hyperopic optic nerve. Note the crowded appearance of the optic nerve with nasal elevation. There is mild venous tortuosity, which can suggest venous outflow congestion and obscure the diagnosis. There is some anomalous branching of the retinal vessels, suggestive of pseudopapilledema. Despite the elevation and crowding of the optic disc, there is no whitening of the peripapillary retinal nerve fiber, no obscuration of the retinal vessels, no retinal or choroidal folds, and no nerve fiber layer hemorrhages.
Image credit: Karl Golnik, M.D. on UpToDate. Available online. Used for educational purposes.
