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kriebel opthamology
CBN II
22
Medical
Graduate
01/31/2011

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Cards

Term
what does fixing your eyes on a certain spot test?
Definition
CN3,4,6
Term
what does visual field testing evaluated?
Definition
CN2
Term
what is the normal visual field?
Definition
120 degrees
Term
what creates the physiological blind spot?
Definition
this is due to the retinal ganglion cells which the brain usually fills in (located down and to the R - just lateral to midline). however this effect may also occur in other places of the retina which the pt will be unaware of = scotoma.
Term
what is anopia?
Definition
loss of vision in one eye
Term
what is hemianopia?
Definition
loss of vision in half of the visual field of each eye.
Term
what is homonymous hemianopia?
Definition
visual field loss of similar halves.
Term
what is heteronymous hemianopia?
Definition
visual field loss of dissimilar halves
Term
what is homonymous quad anopia?
Definition
visual field loss in similar halves but there is only a portion (a quadrant) that is affected.
Term
what is macular sparing?
Definition
accurate discriminative vision in frontal vision is maintained, but the ability to discriminate shapes/movements in the peripheral parts is lost. (macular part of the retina is where there is the most clustering of the cone receptors of the retina)
Term
what is the pathway of visual stimuli through the brain?
Definition
retina -> optic nerve -> optic chiasm -> optic tracts -> geniculate nucleus -> optic radiations -> occipital cortex
Term
what is light from the R halves of the visual fields going to hit?
Definition
the nasal retina of the right eye and the temporal retina of the left eye
Term
what is light from the L halves of the visual fields going to hit?
Definition
the nasal retina of the left eye and the temporal retina of the right eye
Term
where are the L aspects of both visual fields processed?
Definition
in the R cerebral cortex
Term
where are the R aspects of both visual fields processed?
Definition
in the L cerebral cortex
Term
what would a lesion at the optic nerve cause?
Definition
anopia in the eye affected
Term
what would a lesion (pituitary tumor/internal carotid aneurysm) at the optic chiasm cause?
Definition
heteronomous hemianopia - L half of L visual field affected and R half of R visual field affected (outer portions of retinae are spared, which preserve immediately frontal vison)
Term
what would a lesion at the optic tract (after chiasm, similar to lateral geniculate nucleus) cause?
Definition
complete homonymous hemianopia (deficits will be homonymous from here back to the occipital cortex)
Term
what would a lesion at the meyer's loop (optic radiations to temporal lobe) cause?
Definition
homonymous quad anopia in the L upper quadrant (if R cortex affected) and the farther back in the temporal lobe, the greater portion of the visual field will be taken up, moving toward a more homonymous hemianopia
Term
what would a lesion at the more anterior portion of the primary visual cortex cause?
Definition
homonymous macular sparing
Term
what would a lesion at the more posterior portion of the primary visual cortex cause?
Definition
homonymous everything but macular sparing
Term
[image]
Definition
[image]
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