Neuro-ophthalmology

Retrochiasmal Disorders

Typically associated with significant neurological morbidity

Clinical features

Depend on the site of the lesion, particular note presence/absence of RAPD and disc atrophy

  • Optic tracts:

    • Incongruous homonymous hemianopia

    • Optic atrophy: since the axons are those of the retinal ganglion cells

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Chiasmal Disorders