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Hemianopsia, or hemianopia, is a visual field loss on the left or right side of the vertical midline. It can affect one eye but usually affects both eyes. Homonymous hemianopsia (or homonymous hemianopia) is hemianopic visual field loss on the same side of both eyes. Homonymous hemianopsia occurs because the right half of the brain has visual ...
Hemispatial neglect is a neuropsychological condition in which, after damage to one hemisphere of the brain (e.g. after a stroke), a deficit in attention and awareness towards the side of space opposite brain damage (contralesional space) is observed.
Congruous homonymous hemianopia with macular sparing is a feature of occlusion of posterior cerebral artery supplying the anterior part of the visual cortex. [1] Bilateral homonymous hemianopia with macular sparing producing a picture of ring scotoma is seen in bilateral occipital lobe lesions. [1] Pupillary reflex is normal; Optic atrophy does ...
Macular sparing can be determined with visual field testing.The macula is defined as an area of approximately + 8 degrees around the center of the visual field. [3] During examination, vision in an area of greater than 3 degrees must be preserved for a patient to be considered to have macular sparing because there is involuntary eye movement within 1 to 2 degrees.
Paris as seen with left homonymous hemianopsia. A homonymous hemianopsia is the loss of half of the visual field on the same side in both eyes. The visual images that we see to the right side travel from both eyes to the left side of the brain, while the visual images we see to the left side in each eye travel to the right side of the brain.
Lesions in the chiasm (e.g. Bitemporal hemianopia, loss of vision at the sides) Lesions after the chiasm (homonymous field defects like homonymous hemianopia, Quadrantanopia, homonymous scotomata) Other characterisations are: Altitudinal field defects, loss of vision above or below the horizontal meridian – associated with ocular abnormalities
An alternative explanation for the contralateral field deficit has been provided by Horton. [5] Middle lesions affecting the uncrossed temporal fibers are rare. These can result in a nasal or binasal hemianopia. Lesions in the body of the chiasm most commonly disrupt the crossing nasal retinal fibers. This leads to a bitemporal hemianopia.
Homonymous denotes a condition which affects the same portion of the visual field of each eye. [4] Homonymous inferior quadrantanopia is a loss of vision in the same lower quadrant of visual field in both eyes whereas a homonymous superior quadrantanopia is a loss of vision in the same upper quadrant of visual field in both eyes. [5]