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The visual pathway consists of structures that carry visual information from the retina to the brain.Lesions in that pathway cause a variety of visual field defects. In the visual system of human eye, the visual information processed by retinal photoreceptor cells travel in the following way:
Thus, if there is a question of papilledema on fundoscopic examination or if the optic disc cannot be adequately visualized, ultrasound can be used to rapidly assess for increased intracranial pressure and help direct further evaluation and intervention. Unilateral papilledema can suggest a disease in the eye itself, such as an optic nerve glioma.
Subjective measurement of blind spot enlargement is done using visual field testing. [4] In the early stages, using FFA peripapillary hyperfluorescence may be observed. [ 4 ] Since OCT can be used to observe the microstructural alterations in the outer retina, it is the gold standard in diagnosing AIBSES.
However, papillitis may be unilateral, whereas papilledema is almost always bilateral. Papillitis can be differentiated from papilledema by an afferent pupillary defect (Marcus Gunn pupil), by its greater effect in decreasing visual acuity and color vision, and by the presence of a central scotoma. Papilledema that is not yet chronic will not ...
disc edema in the contralateral eye; central scotoma (loss of vision in the middle of the visual fields) in the ipsilateral eye; The presence of anosmia (loss of smell) ipsilateral to the eye demonstrating optic atrophy was historically associated with this syndrome, but is now understood to not strictly be associated with all cases. [4]
For those with visual field defects optical coherence tomography has been recommended for follow-up of nerve fiber layer thickness. [12] Associated conditions such as angioid streaks and retinitis pigmentosa should be screened for. Both the severity of optic disc drusen and the degree of intraocular pressure elevation have been associated with ...
The visual field of each eye can be divided in two vertically, with the outer half being described as temporal, and the inner half being described as nasal. "Bitemporal hemianopsia" can be broken down as follows: bi-: involves both left and right visual fields; temporal: involves the temporal visual field; hemi-: involves half of each visual field
Medical examination of the optic nerve with an ophthalmoscope may reveal a swollen optic nerve, but the nerve may also appear normal. Presence of an afferent pupillary defect, decreased color vision, and visual field loss (often central) are suggestive of optic neuritis. Recovery of visual function is expected within 10 weeks.