Examville is a global education community where users like you 

can connect and interact with other students and teachers from 
around the world. Share, seek, download and discuss everything 
inside and outside the classroom. 

All you need is an email address and a password to get started.  

JOIN US FOR FREE:

http://www.examville.com

© Examville.com, LLC June 2009

 VISUAL DEFECTS

The typical visual field defect in lesions at various sites in the optic
pathways are summarized in Fig.

· At the level of the optic nerve - unilateral blindness

· At the middle of the optic chiasma - bitemporal hemianopia.

· At the lateral aspect of the optic chiasma - unilateral nasal hemianopic

defects; if the pressure is bilateral - bilateral nasal hemianopic defect.

· In the posterior part of the optic chiasma when the pressure is from the
inferior aspect bitemporal scotoma.

· At the level of the optic tract and geniculate body incongruous incomplete
homonymous hemianopia.

· The optic radiation in the temporal lobe - incongruous homonymous

superior quadrantic defect.

· The optic radiation in the temporal lobe - incongruous homonymous

inferior quadrantic defect.

· The optic radiation in the posterior portion congruous homonymous

hemianopia with macular sparing.

· In the mid-portion of the calcarine cortex contralateral loss of the temporal

crescent.

· At the tip of the occipital lobe - congruous homonymous hemianopic

scotoma.

· Anterior tip of calcarine fissure - contralateral loss of the temporal crescent

with otherwise normal visual fields.
Must remember