Visual fields Flashcards

1
Q

Names of the lobes of the brain

A

Frontal
Occipital
Temporal
Parietal

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2
Q

What nerve fibres cross and where do they cross?

A

Nasal at the optic chiasm

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3
Q

What leaves the optic chiasm and what does each one contain?

A

Optic tracks- right and left
right: right temporal nerve and left nasal nerves
Left: left temporal nerve and right nasal nerves

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4
Q

Where do the optic tracks synapse?

A

LGN: lateral geniculate nucleus

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5
Q

What happens after the LGN

A

optic radiation travels from the LGN to the primary visual cortex in the occipital lobe. There are 2 routes of optic radiation: Meyers loop and one that goes direct.

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6
Q

Describe the different routes of optic radiation from the LGN

A

Meyers loop: information from the upper visual field travels to the lower retina. a ventricle obstructs the field of optic radiation so the optic radiation had to go through the temporal lobe forming Meyers loop.

The info from the lower visual fields travels to the upper retina and travels directly through the parietal lobe.

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7
Q

Where does optic radiation end up?

A

Primary visual cortex in the occipital lobe

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8
Q

If the same side of the circle is affected in both eyes where must the problem in the visual pathway be?

A

After the chiasm

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9
Q

If the problem is in the lower visual field, where if the problem?

A

Parietal lobe

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10
Q

If the problem is in the upper visual field where is the problem?

A

Temporal lobe

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11
Q

If a pt has total blindness In one eye where is the problem?

A

Optic nerve

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12
Q

IF the patient has bitemporal hemianopia where is the problem? what is the most common cause of bitemporal hemianopia?

A

Optic Chiasm

pituitary tumour

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13
Q

If a patient has contralateral homonymous hemianopia where is the problem?

A

Optic tract

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14
Q

what is bells palsy? How does it present?

A

Paralysis of CN VII- facial nerve.

Presents with a dry eye as the eye wont close fully on blink reflex but can close on conscious blinking.

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15
Q

Where are tears formed?

A

Lacrimal glands watery part, Meibomian gland for oily part (prevents tears evaporating) and mucous from conjunctiva

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16
Q

What happens if the cornea is anything but spherical

A

Refractive error

17
Q

What is RAPD?

A

Relative afferent pupillary defect- if one eye is not detecting light as well then it wont constrict as well. Only tests the afferent eg optic nerve

18
Q

What is the swinging flashlight test?

A

flood brain with light in one eye for 3 seconds and then rapidly change and flood the other eye (not allowing any time for dilation). If there is a RAPD then the pupil will dilate- afferent problem.