Eye

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Visual Pathway

What makes up the visual pathway?


• Eyeball
• Retina
• Bipolar cells
• Ganglion cells
• Optic nerve
• Optic chiasma
• Optic tract
• Lateral geniculate body
• Optic radiations
• Visual cortex
Left eye Right eye
Temporal Nasal Nasal Temporal
Left eye Right eye
Temporal Nasal Nasal Temporal
A = Lesion of Retina B = Lesion of either C = Lesions of Optic Chiasma
optic nerve
• Central scomata Central Lateral
(blind spot on the • Anopia (total vision
ipsilateral eye) loss of ipsilateral • Bi-temporal • Bi-nasal
eye) Hemianopia Hemianopia
• Tunnel vision/ • Direct light reflex
constricted vision (Ipsilateral eye) ; • Bi-temporal • Bi-nasal
( peripheral vision loss) absent hemianopic Hemianopic
• Consensual light paralysis of paralysis of
reflex (contralateral pupillary pupillary
eye); absent reflex reflex
D = Lesions of Optic E = Lesions of Lateral F = Lesions of Optic radiation
Tract Geniculate Body
• Contralateral
Homonymous • Homonymous Complete Incomplete
Hemianopia Hemanopia
Complete
Homonymous Superior Fiber Inferior Fibers;
Pupilary Reflex; Present Hemianopia Involvement; • Superior
(as fibers have already (sometimes • Inferior Quadratic
reached the mid Brain sparing Quadratic Hemianopia
from Optic tracts) macula) Hemianopia
G = Lesions of Visual cortex

When the tip of visual


cortex is damaged ( head
trauma);
If anterior part of Visual Congruous Homonymous
cortex is damaged/ Macular defect
Ischemic;
Congruous hemianopia
(sparing macula)

END

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