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[Peripheral homonymous hemianopia. A case report].

J A Reche-Sainz1, B Domingo-Gordo, N Toledano-Fernández

  • 1Hospital de Fuenlabrada, Madrid, Spain. jalbres@yahoo.es

Archivos De La Sociedad Espanola De Oftalmologia
|September 2, 2005
PubMed
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A rare case of peripheral homonymous hemianopsia resulted from a small stroke in the visual cortex. Kinetic perimetry was crucial in diagnosing this eccentric visual field defect.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Neurology

Background:

  • Homonymous hemianopsia typically results from retrochiasmal lesions.
  • Peripheral presentations are uncommon and often associated with specific vascular territories.

Observation:

  • A 63-year-old male presented with isolated temporal visual field loss in the right eye.
  • Clinical examination and kinetic perimetry revealed eccentric right homonymous hemianopia.
  • Brain MRI identified a small infarction in the ventral left calcarine fissure.

Findings:

  • The infarction's location precisely correlated with the observed eccentric visual field defect.
  • This case highlights a rare cause of peripheral homonymous hemianopsia.

Implications:

Related Experiment Videos

  • Partial infarction of the ventral striate cortex can lead to peripheral homonymous hemianopsia.
  • Kinetic perimetry is an effective diagnostic tool for identifying such specific visual field deficits.