Visual field defects Lec 18 Flashcards
Scotoma
Portion of VF missing
Arcuate
Arc-like shape defect produced by retinal nerve fiber bundle damage
Altitudinal
Superior or inferior defect that respects horizontal meridian
Splits horizontally
Hemianopia
Nasal or temporal defect that respects the vertical meridian
Splits vertically
Quadrantanopia
Affects one quarter
Homonymous
Defect is on the same side
congruous
Defect similar in both eyes
Incongruous
Defect different in both eyes
Think optic tract defect
Retina defects
General or focal field defects
- central scotoma from foveal lesion
- Arcuate defect in glaucoma
Optic nerve defects
Decrease VA and color vision
Optic chiasm defect
Tumors
Carotid aneurysms
Optic tract defect
Defects are homonymous
incongruous
Anterior lesion
Meyer’s loop
Pie in the sky
-slightly incongruous
Posterior lesion
right homonymous incomplete superior quadrantanopia
Calcarine cortex
Macular sparring