11/2/2014
OPHTHALMOLOGY DEPARTMENT Moustafa Nassar
e
Egyptian Society for Investigative Ophthalmology
1 11/2/2014
ESG
Moustafa Nassar
ESG
VISUAL FIELD INSTRUCTIVE COURSE
Modulator: Moustafa Nassar
Moustafa Nassar
2 11/2/2014
ESG
Moustafa Nassar
Professor of Ophthalmology Ophthalmology Department Menofyia University
Moustafa Nassar
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
3 11/2/2014
ESG Patient with visual field defect
Central , Paracentral Scotoma
Retinal or Choroidal Disease or Optic Nerve Lesion
Moustafa Nassar
ESG
Moustafa Nassar
4 11/2/2014
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
ESG Patient with visual field defect
Cecocentral Scotoma
Maculopapillary bundle defect
Moustafa Nassar
5 11/2/2014
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
ESG Patient with visual field defect
Temporal Scotoma
Wedge-shape extending from blind spot
Nerve fiber bundle defect of radiating nasal fibers
Moustafa Nassar
6 11/2/2014
Rim width = distance between the scleral ring and the location where the vessel is bent (cup border)
Cup border
Scleral ring
Moustafa Nassar
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
7 11/2/2014
ESG Patient with visual field defect
Scotoma in Bjerrum’s area
Scimitar-shaped Arcuate nerve scotoma fiber bundle Bjerrum’s scotoma
Comma-shaped extension Proximal part of arcuate of blind spot Nerve fiber bundle Seidel’s scotoma
Nasal step Distal part Of arcuate nerve fiber bundle Arcuate nerve fiber Intermediate bundle defect Isolated scotoma part of arcuate nerve fiber bundle Moustafa Nassar
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
8 11/2/2014
ESG Patient with visual field defect
Altitudinal defect
Binocular Monocular
Retina defect Occlusion sup or inf BRA Exudative RD
Optic disc Post ciliary artery occlusion coloboma
Large nasal step with breakthrough to Optic disc (NFB) Glaucoma temporal periphery
Moustafa Nassar
9 11/2/2014
ESG
Moustafa Nassar
ESG
Altitudinal defect
Monocular Binocular
Incongruous Congruous
Retina defect Optic disc Occlusion sup or inf BRA Post ciliary artery occlusion Exudative RD coloboma
Moustafa Nassar
10 11/2/2014
ESG Altitudinal defect
Monocular Binocular
Incongruous Congruous
Superior or inferior Inferior altitudinal hemianopia
Suprachiasmic lesion Bilateral occipital lobe lesion below or above calcarine fissure
Moustafa Nassar
11 11/2/2014
ESG
Moustafa Nassar
ESG Patient with VISUAL FIELD DEFECT
Respect horizontal Respect vertical
Central, paracentral scotoma
Cecocentral scotoma Hemianopia
Temporal scotoma
Scotoma in Bjerrum’s area
Altitudinal defect Moustafa Nassar
12 11/2/2014
ESG Patient with visual field defect
Hemianopia
Monocular Binocular
Superior quadrantanopic defect with central scotoma other eye
Junctional scotoma
Moustafa Nassar
ESG Hemianopia
Monocular Binocular
Heteronymous Homonymous (opposite hemifield) (same hemifield)
Bitemporal Binasal
Optic chiasm lesion Optic chiasm lesion (compression centrally) ( compression from both sides)
Moustafa Nassar
13 11/2/2014
ESG
Moustafa Nassar
ESG
Moustafa Nassar
14 11/2/2014
ESG Hemianopia
Monocular Binocular
Heteronymous Homonymous (opposite side) (same side)
incongruous congruous
Densest superiorly Optic tract lesion (“pie in the sky”)
Temporal lobe lesion Moustafa Nassar
Hemianopia ESG
Monocular Binocular
Homonymous Heteronymous (same hemifield) (opposite hemifield)
incongruous congruous
Densest Central field inferiorly only Sparing temporal crescent complete Tip of occipital lobe
Parietal lobe Occipital lobe Moustafa Nassar
15 11/2/2014
ESG
Moustafa Nassar
ESG
Moustafa Nassar
16 11/2/2014
Moustafa Nassar
ESG
Moustafa Nassar
17 11/2/2014
18 11/2/2014
19 11/2/2014
20 11/2/2014
ESG
Moustafa Nassar
21