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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:
Lesions in the visual pathway affect vision most often by creating deficits or negative phenomena, such as blindness, visual field deficits or scotomas, decreased visual acuity and color blindness. On occasion, they may also create false visual images, called positive visual phenomena.
Chiasmal syndrome is the set of signs and symptoms that are associated with lesions of the optic chiasm, manifesting as various impairments of the affected's visual field according to the location of the lesion along the optic nerve.
Lesions in the pathway cause a variety of visual field defects. The type of field defect can help localize where the lesion is located (see figure). A lesion in the optic nerve of one eye causes partial or complete loss of vision in the same eye, with an intact field of vision in other eye.
Visual pathway lesions From top to bottom: 1. Complete loss of vision, right eye 2. Bitemporal hemianopia 3. Homonymous hemianopsia 4. Quadrantanopia 5&6. Quadrantanopia with macular sparing. Proper function of the visual system is required for sensing, processing, and understanding the surrounding environment.
If a lesion only exists in one unilateral division of the optic radiation, the consequence is called quadrantanopia, which implies that only the respective superior or inferior quadrant of the visual field is affected. If both divisions on one side of the brain are affected, the result is a contralateral homonymous hemianopsia.
Lesions in the optic tract correspond to visual field loss on the left or right half of the vertical midline, also known as homonymous hemianopsia. A lesion in the left optic tract will cause right-sided homonymous hemianopsia, while a lesion in the right optic tract will cause left-sided homonymous hemianopsia.
Visual agnosia occurs after damage to visual association cortex or to parts of the ventral stream of vision, known as the "what pathway" of vision for its role in object recognition. [6] This occurs even when no damage has been done to the eyes or optic tract that leads visual information into the brain; in fact, visual agnosia occurs when ...