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Understanding Visual Pathway and Lesions

Mar 9, 2025

Lecture on Visual Pathway and Lesions

Overview of Visual Pathway

  • Key Components:
    • Occipital Lobe
    • Eyeball
    • Optic Nerve
    • Optic Chiasm
    • Lateral Geniculate Body
    • Optic Tract (also known as Geniculocalcarine Tract)
  • Visual Fields:
    • Blue nerve (Left side):
      • Picks up left nasal field
      • Carries information to the lateral geniculate body
      • Synapses with another nerve to carry information to the occipital lobe
    • Blue nerve (Right side):
      • Captures images from the right temporal field
      • Crosses at the optic chiasm
      • Synapses with neurons of the left lateral geniculate body
      • Information carried to occipital lobe
    • Orange Optic Nerve (Left eyeball):
      • Captures left temporal visual field
      • Crosses at optic chiasm
      • Synapses at the right lateral geniculate body
      • Information relayed to occipital lobe
    • Orange Optic Nerve (Right eye):
      • Captures right nasal visual field
      • Relays information to lateral geniculate body
      • Synapses along optic tract to occipital lobe

Effects of Lesions on Vision

  • Left Optic Nerve Lesion (A):
    • Blindness in left eye
    • Known as "Left Anopia"
  • Optic Chiasm Lesion (B):
    • Caused by pituitary tumors
    • Blindness in temporal visual field of both eyes
    • Known as "Bitemporal Hemianopia"
  • Post-Optic Chiasm Lesion (C):
    • Loss of left nasal and right temporal fields
    • Known as "Right Homonymous Hemianopia"
  • Nerve Tract Bundle Lesion (D):
    • Causes "Right Homonymous Superior Quadrantanopia"

Eye Structures and Related Conditions

  • Optic Disc
    • Location where optic nerve and vessels pass
  • Macula
    • Contains "Fovea" (high concentration of cones for high resolution)
    • Damage leads to loss of central vision
  • Conditions
    • Central Scotoma/Macular Degeneration:
      • Damage to macula causes loss of central vision
    • Glaucoma and Retinitis Pigmentosa:
      • Preserved macula but loss of peripheral vision (tunnel vision)

Additional Visual Pathway Information

  • Midbrain
    • Receives optic nerve information
    • Involved in eye reflexes (blink and light reflex)

This overview provides a basic understanding of the visual pathways and potential implications of lesions along different points of the pathway.