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Information

Altitudinal Field Defect

More Common

Ischemic optic neuropathy, optic neuritis, hemi- or branch retinal artery or vein occlusion.

Less Common

Glaucoma, optic nerve or chiasmal lesion, optic nerve coloboma.

Arcuate Scotoma

More Common

Glaucoma.

Less Common

Ischemic optic neuropathy (especially nonarteritic), optic disc drusen, high myopia, optic neuritis.

Binasal Field Defect

More Common

Glaucoma, bitemporal retinal disease (e.g., retinitis pigmentosa).

Rare

Bilateral occipital disease, tumor or aneurysm compressing both optic nerves or chiasm, chiasmatic arachnoiditis, nonphysiologic.

Bitemporal Hemianopsia

More Common

Chiasmal lesion (e.g., pituitary adenoma, meningioma, craniopharyngioma, aneurysm, glioma).

Less Common

Tilted optic discs.

Rare

Nasal retinitis pigmentosa.

Blind Spot Enlargement

Papilledema, glaucoma, optic nerve drusen, optic nerve coloboma, myelinated nerve fibers off the disc, drugs, disc with myopic crescent, multiple evanescent white dot syndrome (MEWDS), acute idiopathic blind spot enlargement syndrome (may be on same spectrum as MEWDS).

Central Scotoma

Macular disease, optic neuritis, ischemic optic neuropathy (more typically produces an altitudinal field defect), optic atrophy (e.g., from tumor compressing the nerve, toxic or metabolic disease), rarely an occipital cortex lesion.

Constriction of the Peripheral Fields Leaving a Small Central Field (Tunnel Vision)

Glaucoma, retinitis pigmentosa or other peripheral retinal disorders (e.g., gyrate atrophy), chronic papilledema, sequela of panretinal photocoagulation or cryotherapy, central retinal artery occlusion with cilioretinal artery sparing, bilateral occipital lobe infarction with macular sparing, non-physiologic visual loss, medications (e.g., phenothiazines), vitamin A deficiency, carcinoma, melanoma, autoimmune-associated retinopathy.

Homonymous Hemianopsia

Temporal, parietal, or occipital lobe lesion of the brain (e.g., stroke and tumor more commonly; aneurysm and trauma less commonly), optic tract or lateral geniculate body lesion, migraine (transiently).