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Binasal hemianopia in two sisters.

Sam Scotcher1, George Morphis2, Peter Good3

  • 1West of England Eye Unit, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK samscotcher@doctors.org.uk.

BMJ Case Reports
|January 24, 2020
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Summary
This summary is machine-generated.

Binasal hemianopia, a rare visual defect, was observed in two sisters with no identifiable cause. This suggests a potential unknown congenital origin for this condition.

Keywords:
ophthalmologyvisual pathway

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Area of Science:

  • Ophthalmology
  • Neurology
  • Genetics

Background:

  • Binasal hemianopia is an uncommon visual field defect characterized by vision loss in the nasal visual field of both eyes.
  • The condition can be caused by various neurological or ocular pathologies, but often remains idiopathic.

Observation:

  • A teenage girl presented with blurred vision and headaches after a head injury.
  • Ocular examination revealed binasal hemianopia, but neuroimaging was normal.
  • Her elder sister exhibited identical visual field defects with unremarkable neuroimaging.

Findings:

  • This case marks the first documented instance of binasal hemianopia occurring in siblings.
  • The absence of neurological or ocular abnormalities in both affected sisters is a significant finding.

Implications:

  • The familial occurrence and lack of identifiable cause support a theory of unknown congenital etiology for binasal hemianopia.
  • Further research into genetic factors or previously unrecognized congenital causes is warranted.