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Related Experiment Video

Updated: Apr 23, 2026

Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
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Homonymous hemianopia: challenges and solutions.

Denise Goodwin1

  • 1Pacific University College of Optometry, Forest Grove, OR, USA.

Clinical Ophthalmology (Auckland, N.Z.)
|October 7, 2014
PubMed
Summary
This summary is machine-generated.

Homonymous hemianopia (HH), often caused by stroke, impacts daily life. Management focuses on maximizing remaining vision through prisms, training, or vision restoration therapy to improve quality of life.

Keywords:
hemianopiahomonymous hemianopiaperimetryvisual field defectsvisual training

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Area of Science:

  • Neurology
  • Ophthalmology
  • Neuroscience

Background:

  • Homonymous hemianopia (HH) is a visual field defect commonly caused by stroke, trauma, or tumors.
  • HH significantly impacts quality of life, affecting activities like driving, reading, and navigation.
  • Identifying the brain lesion location is crucial for understanding HH and its prognosis.

Purpose of the Study:

  • To review the causes, effects, and management strategies for homonymous hemianopia (HH).
  • To highlight the importance of understanding visual field defects for patient rehabilitation.
  • To discuss treatment options for improving function and independence in individuals with HH.

Main Methods:

  • Literature review of studies on homonymous hemianopia.
  • Analysis of visual field characteristics and associated neurological signs.
  • Overview of current and emerging treatment modalities for HH.

Main Results:

  • Stroke is the leading cause of adult HH, with trauma and tumors as other significant etiologies.
  • Visual field characteristics aid in localizing the brain lesion responsible for HH.
  • Treatment options include prismatic correction, compensatory training, and vision restoration therapy.

Conclusions:

  • Effective management of HH involves utilizing remaining vision and implementing rehabilitation strategies.
  • While spontaneous recovery is possible, therapeutic interventions are vital for reducing visual disability.
  • Improving function and independence in patients with HH is achievable through a combination of approaches.