Ophthalmology Flashcards
Which lesion of the visual pathway produces the following visual field defect?
Answer: Lesion shown by pin 9
Left homonymous hemianopia with macular sparing
Answer: Lateral geniculate nucleus and optic chiasm
Answer: Contralateral homonymous hemianopia
Answer: Lesion shown by pin 1
= A
Answer: Eye moves down and out and pupillary dilation
Answer: Bitemporal hemianopia
Bitemporal hemianopia (loss of the outer half of both visual fields) is often due to compression of the optic chiasm (e.g. by a pituitary adenoma).
Answer: Optic disc
Answer: Lesion shown by pin 3
Answer: Iris
Answer: Fourth nerve palsy
Answer: The vitreous chamber
The vitreous chamber contains vitreous fluid, while the anterior and posterior chambers contain aqueous fluid.
Answer: Sclera
Answer: Elevation, intorsion, adduction
Answer: Lesion shown by pin 1
Central scotoma caused by inflammation of the optic disc (optic neuritis) and optic nerve (retrobulbar neuritis),
Common causes of scotomata include demyelinating disease such as multiple sclerosis.
Answer: Choroid
Answer: Lesion shown by pin 4
Answer: Pituitary tumour
Pituitary tumours compress the optic chiasma and cause bitemporal hemianopia.
= A
Answer: Ciliary body
Answer: Elevation, extorsion, abduction.
Answer: Optic tract
= C