Visual Field Deficits Flashcards
In a pre-chiasmal lesion which eye is affected?
one eye only ipsilateral
What can cause a pre-chiasmal lesion?
- Optic neuritis
- Amaurosis fugax
- Optic atrophy
- Retrobulbar optic neuropathy
- Trauma
What does a chiasmal lesion result in?
bitemporal hemianopia
What are the causes of a chiasmal lesion?
- Pituitary adenoma
2. Suprasellar aneurysm
What does a post chiasmal lesion result in?
homonymous contralateral
What are the causes of post chiasmal lesion?
- Stroke
- Tumour
- Trauma
What cranial nerve is CN III?
occulomotor
What cranial nerve is IV?
trochlear
What cranial nerve is VI?
abducens
Which muscles does CNIII innervate?
- Superior rectus
- Inferior rectus
- Medial rectus
- Inferior oblique
What muscle does CN IV innervate?
superior oblique
What muscles does CN VI innervate?
lateral rectus
What does occulomotor palsy result in?
- Ptosis
- Mydriasis
- Down and out
What is Mydriasis?
dilated pupils
What does trochlear palsy show as?
prevents eye moving inwards and down
What does abducens palsy show as?
prevent movement outwards
What is amaurosis fugax?
transient loss of vision due to lack of blood supply to the retina
What is optic neuritis?
inflammation of the optic nerve
How do pituitary adenomas grow?
upward from the pituitary stalk, compress the chiasm from below