L28 Visual Pathways Flashcards
define hemianopia
visual loss in 1/2 of the visual field (visual hemifield)
define quadrantic anopia
visual loss in 1/4 of the visual field
define homonymous anopia
same visual field defect for both eyes
left visual field (temporal) is affected in L eye
left visual field (nasal) is affected in R eye
define heteronymous anopia
different visual field defect for both eyes
example - visual loss affecting the temporal visual field in either eye (bitemporal hemianopia) –
left visual field (temporal) in L eye
right visual field (temporal) in R eye
what is the visual field
the total space seen when the eye is fixed looking straight ahead towards the center of the visual field (point of fixation)
what is another name for left and right hemifields? what is their span?
nasal and temporal fields
60-90 degrees (nasal to temporal)
the superior half of the visual field is reflected onto the _____ half of the retinal field
inferior + vice versa (upside down)
the nasal half of the visual field is reflected onto the _____ half of the retinal field
temporal + vice versa (opposite)
in summary, how do the visual fields reflect on the retinal field?
upside down
and opposite
what is the projection pathway of retinal ganglion cells?
retinal ganglion cells –> optic disk –> optic nerve –> optic chiasm –> LGN (thalamus) –> primary visual cortex V1
where is the macula located in the visual field diagram?
in the center
images from the superior visual field will travel via the _______ to the ____ portion of V1
temporal radiation
inferior
images from the inferior visual field will travel via ____ to the ____ portion of V1
parietal radiation
superior
images from the LEFT visual field will relay to the ___ LGN and then to the ____ portion of V1
right
right
images from the RIGHT visual field will relay to the ____ LGN and then to the ____ portion of V1
left
left
what are the 4 places that retinal ganglion cells can terminate?
LGN (thalamus) suprachiasmatic nucleus (hypothalamus) pretectal nucleus (midbrain) superior colliculus (midbrain)
what is the role of the LGN
relay station between the retina and the primary visual cortex
what is the role of suprachiasmatic nucleus?
trigger circadian clock
what is the role of the pretectal nucleus
forming part of the afferent limb of the pupillary light reflex
what is the role of the superior colliculus
contribute to eye movements
What Brodmann’s area corresponds to the primary visual cortex?
Area 17 (superior and inferior gyrus split by calcarine sulcus)
where is a major portion of the primary visual cortex represented
on the medial aspect of the brain
where does the primary visual cortex receive most of its blood supply?
calcarine branches of the PCA
*note - small portion around occipital pole may also get blood from MCA (especially after an occlusion of the PCA)
retinoptic organization of V1: the left visual fields reflects to the ____ V1
right V1 (vice versa)
retinoptic organization of V1: the superior visual fields reflects to the ____ V1
inferior (vice versa)
retinoptic organization of V1: the macular/central vision reflects to the _____ V1
superficial
retinoptic organization of V1: the peripheral vision reflects to the ____ V1
deeper
what types of columns make up the columnar organization of V1
occular dominance columns
orientation columns
describe occular dominance columns
there are separate/infividual areas (column) dedicated to the input from each eye
there are contralateral columns (C) and ipsilateral columns (I) in both the left and right V1
*visual fields from both the L and R eye can relay to a single side of V1, however that info does not actually reach identical locations
describe orientation columns
there are columns of V1 that have a preference to the orientation of the image in the visual field
there are various orientation columns which have varying preferences such as vertical and horizontal light as well are the intermediate variations!
what layers of the cortex are involved in the organization of columns?
all of them
layer 1 near pial surface
layer 6 near white matter
what are depth, motion, form and color handled
parallel pathways
what is the pathway for depth and motion
magnocellular neurons (M-ganglion cells) of the retina –> synapse in 2/6 layers in the LGN –> follow dorsal (parietal pathway)
note - similar to inferior visual field
what is the pathway for form and color
start in parvocellular neurons (P-ganglion cells) of the retina –> synapse in 4/6 layers in the LGN –> follow ventral (temporal) pathway
note - similar to superior visual field
what is the confrontational visual field test
each quadrant of the visual field can be tested individually
site of lesion: optic n.
what is the visual field defect?
what is the possible origin?
visual field defect: monocular blindness
what is the possible origin: optic neuritis
site of lesion: optic chiasm
what is the visual field defect?
what is the possible origin?
visual field defect: bitemporal hemianopia
what is the possible origin: pituitary tumor
site of lesion: optic tract
what is the visual field defect?
what is the possible origin?
visual field defect: homonymous hemianopia
what is the possible origin: temporal lobe tumor
site of lesion: temporal radiation (Meyer’s loop)
what is the visual field defect?
what is the possible origin?
visual field defect: homonymous superior quadrantic anopia
what is the possible origin: temporal or occipital lobe tumor
site of lesion: parietal radiation
what is the visual field defect?
what is the possible origin?
visual field defect: homonymous inferior quadrantic anopia
what is the possible origin: parietal or occipital lobe tumor
site of lesion: visual cortex
what is the visual field defect?
what is the possible origin?
visual field defect: homonymous hemianopia
what is the possible origin: PCA dysfunction
what is color agnosia (achromotopsia)?
inability to distinguish colors due to cortical lesions in areas 18 and 37 = cortical color blindness
what are the sensory cortex generalizations
topographical organization - retinotopic map
organization in columns - occular dominance and orientiation columns
input layer IV - thalamocortical fibers from LGN end here