Normal Peripapillary Nerve Fiber Layer

This is a normal peripapillary nerve fiber layer in a young woman. Note the way the nerve fiber striations obscure and partially bury the small vessels running across them. Also note the interrupted surface reflex on arteries due to interposed nerve fiber layer tissue. All these vessels are buried in healthy nerve fiber tissue. Barely visible are the white punctate ""Gunn's Dots"" from the surface of the nerve fiber layer. Seen most easily in open spaces between arteries and veins. Anatomy: Retina. Pathology: Normal healthy young retina. Disease/Diagnosis: Normal nerve fiber layer and retina.(Get diagram from Kathleen's book - diagram 225C, page 72