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Updated: Dec 27 2021

Visual Field Defects

Images
https://upload.medbullets.com/topic/120488/images/visual-field-defects..jpg
https://upload.medbullets.com/topic/120488/images/lefthh.jpg
https://upload.medbullets.com/topic/120488/images/optic radiations.jpg
https://upload.medbullets.com/topic/120488/images/centralscotoma.jpg
https://upload.medbullets.com/topic/120488/images/bitemporal.jpg
https://upload.medbullets.com/topic/120488/images/visual field defects by moises dominguez.jpg
  • Optic Nerve Transection
    • Transection of the optic nerve
      • loss of nasal and temporal visual fields of single eye
      • loss of all visual information from 1 eye
  • Lesion/Compression of Optic Chiasm (Bitemporal Hemianopsia)
    • Patient unable to see in bilateral temporal fields
      • Usually caused by lesion in optic chiasm
        • most commonly associated with pituitary tumors
        • also occurs with craniopharyngiomas, meningiomas, anterior communicating artery aneurysms
  • Lesion of Optic Tract
  • Lesion of Meyer's Loop
    • Meyer's loop innervates the inferior ipsilateral part of the retina serving the upper contralateral wedge of vision (pie in the sky)
  • Dorsal Optic Radiation Lesion
    • Dorsal optic radiations innervate the ipsilateral superior part of the retina
      • this means that the contralateral inferior wedge of vision is lost
  • Visual Cortex Lesion
    • Unilateral lesion of the visual cortex causes vision loss of the contralateral visual field
      • the central area of vision is often spared because of redundant coverage of this area with the contralateral visual cortex
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