Bitemporal hemianopsia most commonly occurs as a result of tumors located at the mid-optic 4 I would like to thank Professor Mason and her. Bitemporal Heteronymous Hemianopia. 1. BITEMPORAL HETERONYMUS HEMIANOPIA Roll No. Muhammad Mubashir Tanvir Roll No. The Humphrey visual field test showed bitemporal visual field defects. The differential diagnosis of bitemporal hemianopia includes tumors causing.

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It is the type of partial blindness in which half of the vision of both external sides of the eye is hemianopzia. At each assessment, the visual field defects appeared stable Figure 1 B.

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The visual field of each eye can be divided in two vertically, with the outer half being described as temporaland the inner half being described as nasal. Bitemporal hemianopia is also known as bitemporal heteronymous hemianopia or bitemporal hemianopia. Report of a Case. From Wikipedia, the free encyclopedia. Also the compression of the optic chiasm causes the disturbance in the vision heminaopsia the impulses can not be transferred due to the compression in the area.

Ross further about any associated symptoms. This case highlights the potential for retinal disorders to produce visual field defects that mimic those produced by optic nerve or chiasmal lesions, the importance of obtaining appropriate and correctly interpreted electrophysiological tests to assess patients with unexplained visual field defects, and the need to perform serial examinations and repeat testing when the cause of such abnormal visual fields is unclear.

Purchase access Subscribe to the journal. Urology Rx Linked to Maculopathy Feature: A year-old woman with a history of previously treated tuberculosis, migraine headaches, and osteopenia was found to have a bitemporal hemianopic defect during a routine visual field test as part of an eye examination at an outside institution in Also, another relatively common neoplastic cause is meningiomas.


To our knowledge, this is the first case report of bilateral temporal hemianopic defects from a retinal disorder. When hdmianopsia examined Mrs. In this case, the funduscopic examination results were initially normal and the results of mfERG were also thought to be normal, although in retrospect the tracings were contaminated by excessive noise. Infull-field ERG gave hejianopsia responses; however, repeat mfERG showed abnormal topography bilaterally with severely reduced activity in the nasal retinas of both eyes corresponding to the temporal hemifields Figure 2 A.

It basically occurs when there is compression or hemiajopsia of the optic nerve. Magnetic resonance imaging and high-resolution computed tomography are also useful in diagnosing the cause of bitemporal hemianopia. The nasal retina transmits visual information of the temporal visual field and the temporal retina transmits information of the nasal field. What to look for.

Visual evoked potentials were slightly delayed bilaterally. This is the area where the optic nerves on the right side of the brain cross to the left and vice versa. Any type of injury or defect in the pituitary gland is observed with neuroimaging. Individuals with tilted disc syndrome, a congenital anomaly, may have bitemporal visual field defects that mimic chiasmal disorders.

The Case of Bitemporal Visual Field Defects – American Academy of Ophthalmology

The nasal retina is responsible for carrying the information along the optic nerveand crosses to the other side at the optic chiasm.

Articles lacking in-text citations from November All articles lacking in-text citations Infobox medical condition new. When this interruption in the circuit occurs, there is a loss of information from both external visual fields. Exophthalmos Enophthalmos Orbital cellulitis Orbital lymphoma Periorbital cellulitis. Get free access to newly published articles Create a personal account or sign in to: The closest gland that is found is known as the pituitary gland, so any type of trauma to the pituitary gland such as pituitary adenomas and craniopharyngiomas can also be the cause of this condition.


Diseases of the human eye H00—H59 — A bitemporal hemianopic defect was confirmed by static perimetry Figure 1 A ; kinetic perimetry revealed that the defect was scotomatous. These will finally show the functioning of the pituitary gland. The visual information obtained from the temporal side falls on the medial nasal retina. The trauma in the middle optic nerve.

Bitemporal hemianopsia

N indicates nasal; T, temporal; S, superior; and I, inferior. An additional cause of bitemporal visual field defects is tilted disc syndrome.

A bitemporal hemianopia is almost always caused by damage to the optic chiasm and can occur from the direct or indirect effects of a variety of lesions, including tumors, 1 aneurysms, 2 and, less frequently, inflammatory and ischemic diseases. Static perimetry Swedish Interactive Threshold Algorithm standard threshold, strategy showing a bitemporal hemianopia, with initial field defects in January A and field defects in August B.

Bitemporal hemianopia: Causes, Symptoms, Diagnosis and Treatment

Retrieved from ” https: We Get a Look When we examined Mrs. Sign in to make a comment Sign in to your personal account. Globe Fibrous tunic Hemianopsja Scleritis Episcleritis. After completing a workup for intracranial pathology, we could reassure her that this condition was anatomic, not pathologic. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Thoughts From Your Colleagues. This case is important because it demonstrates the investigative steps necessary in evaluation hemmianopsia bitemporal visual field loss.