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Optometry · NBEO

Optometry Boards: Visual System Neuroanatomy

Visual pathway anatomy from retina to occipital cortex and the visual field defect tied to a lesion at each level, tested on the NBEO.

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A lesion of the optic nerve causes what visual field defect?
Monocular vision loss in the eye on the same side as the lesion
Where do retinal ganglion cell axons converge to exit the eye?
The optic disc
What retinal layer is formed by the axons of retinal ganglion cells?
The nerve fiber layer
Which retinal fibers decussate at the optic chiasm?
Nasal retinal fibers
Which retinal fibers remain uncrossed at the optic chiasm?
Temporal retinal fibers
A lesion at the optic chiasm classically causes what visual field defect?
Bitemporal hemianopia
A pituitary adenoma typically compresses the chiasm from which direction?
From below
Because a pituitary adenoma compresses the chiasm from below, which bitemporal field is affected first?
The superior bitemporal field
A craniopharyngioma typically compresses the chiasm from which direction?
From above
Because a craniopharyngioma compresses the chiasm from above, which bitemporal field is affected first?
The inferior bitemporal field
Where is a junctional scotoma lesion located?
At the junction of the optic nerve and the optic chiasm
What visual field pattern does a junctional scotoma produce?
An ipsilateral central scotoma plus a contralateral superior temporal field defect
What is Wilbrand's knee?
A small loop that contralateral inferior nasal retinal fibers make into the opposite optic nerve just before joining the chiasm
A lesion of the optic tract causes what visual field defect?
Incongruous homonymous hemianopia
The optic tract carries visual information from which part of each eye's visual field?
The contralateral visual field of both eyes

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