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The Optic Pathway

The optic pathway includes the retina, optic nerve, optic chiasm, optic radiations, and occipital cortex (see Fig. 1: Optic Nerve Disorders: Higher visual pathways—lesion sites and corresponding visual field defects.Figures). Damage along the optic pathway causes a variety of visual field changes (see Table 1: Approach to the Ophthalmologic Patient: Types of Field Defects Tables).

Fig. 1

Higher visual pathways—lesion sites and corresponding visual field defects.

With retrochiasmal lesions, visual field defects tend to become more symmetric (congruous), as shown with the occipital lesion in #4.

Last full review/revision July 2008 by James Garrity, MD

Content last modified July 2008

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