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Bitemporal hemianopsia is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field. It is usually associated with lesions of the optic chiasm , the area where the optic nerves from the right and left eyes cross near the pituitary gland.
This visual field defect is called as bitemporal hemianopia. Anterior chiasmal syndrome, the lesions that affect the ipsilateral optic nerve fibres and the contralateral inferonasal fibres located in the Willebrand knee produce junctional scotoma, i.e., a combination of central scotoma in one eye and temporal hemianopia defect in the other eye.
Hemianopsia, or hemianopia, is a loss of vision or blindness in half the visual field, usually on one side of the vertical midline. The most common causes of this damage are stroke , brain tumor , and trauma.
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. The field of vision may still be full when both eyes are open but stereovision will not
The visual field is "that portion of space in which objects are visible at the same moment during steady fixation of the gaze in one direction"; [1] in ophthalmology and neurology the emphasis is mostly on the structure inside the visual field and it is then considered “the field of functional capacity obtained and recorded by means of perimetry”.
The visual field of each eye can be divided in two vertically, with the outer half being described as temporal or lateral, and the inner half being described as nasal. "Binasal hemianopsia" can be broken down as follows: bi-: involves both left and right visual fields; nasal: involves the nasal visual field; hemi-: involves one-half of each ...
Confrontation visual field testing is an important part of a routine ophthalmological or neurological examination. It can be used for rapid and gross assessment of large-scale visual field problems due to ophthalmological or neurological diseases, such as homonymous and heteronymous hemianopias, quadranopsia, altitudinal visual loss, central/centrocecal scotoma etc. [1] [2] Test using a red ...
Figure 1 - Humphrey field analyser. Humphrey field analyser (HFA) is a tool for measuring the human visual field that is commonly used by optometrists, orthoptists and ophthalmologists, particularly for detecting monocular visual field. [1] The results of the analyser identify the type of vision defect.