Visual Pathway Lesion Simulator

PGY2 Neurology  ·  Eyes (top) → V1 (bottom)  ·  Standard anatomical orientation

EXPLORE
Lesion SitesClick to place
Level
Instructor Notes
Visual Field Defects—
Select a lesion to see field defect
Standard perimetry convention (patient view) · Black = field loss · T=temporal N=nasal
Select a lesion site to begin.
References
  1. Nayak MA, Agarwal S, Spiegel SJ, Bhat S; edited by Tao JP. Decoding visual pathway lesions [Ophthalmic Pearls]. EyeNet Magazine (American Academy of Ophthalmology). 2023 Sep:37–41. Available from: aao.org/eyenet/article/decoding-visual-pathway-lesions
  2. Levin LA. Topical diagnosis of chiasmal and retrochiasmal disorders. In: Miller NR, Newman NJ, Biousse V, Kerrison JB, eds. Walsh and Hoyt's Clinical Neuro-Ophthalmology. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2005:503–573.
  3. Spector RH. Visual fields. In: Walker HK, Hall WD, Hurst JW, eds. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Boston: Butterworths; 1990. Chapter 116. Available from: ncbi.nlm.nih.gov/books/NBK220
  4. Yartsev A. Visual fields and lesions of the visual pathways (CN II). Deranged Physiology [online]. 2015 [updated 2015 Sep 24]. Available from: derangedphysiology.com → Chapter-4623
  5. Geeky Medics. Visual pathway and visual field defects [online]. Available from: geekymedics.com/visual-pathway-and-visual-field-defects
  6. Yogarajah M, Focke NK, Bonelli S, et al. Defining Meyer's loop — temporal lobe resections, visual field deficits and diffusion tensor tractography. Brain. 2009;132(6):1656–1668. doi:10.1093/brain/awp114
  7. Winston GP, Daga P, Stretton J, et al. Optic radiation tractography and vision in anterior temporal lobe resection. Ann Neurol. 2012;71(3):334–341. doi:10.1002/ana.22619
  8. Roediger HL III, Butler AC. The critical role of retrieval practice in long-term retention. Trends Cogn Sci. 2011;15(1):20–27. doi:10.1016/j.tics.2010.09.003 [Theoretical basis for the retrieval-first quiz design: answer before reveal.]