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Open AccessJournal ArticleDOI

Pathogenesis of visual field defects. Role of the ciliary circulation.

Sohan Singh Hayreh
- 01 May 1970 - 
- Vol. 54, Iss: 5, pp 289-311
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TLDR
The present study demonstrates such a sectoral blood supply in the optic nerve head and choroid and is of considerable significance in explaining the site of the lesion and the pathogenesis of these defects.
Abstract
Clinically the presence of nerve fibre bundle defects in glaucoma and non-glaucomatous lesions, and altitudinal or vertical hemianopias in pre-chiasmal lesions has been known for a long time. These suggest a sectoral lesion in the optic nerve or retina. In the majority of such cases, no retinal lesion is seen to account for these visual field defects. It has been presumed that the lesion lies in the optic nerve. Such a visual field defect can be produced only by a sectoral lesion. Most of these field defects are considered to be vascular in origin, but studies of the blood supply of the optic nerve have so far failed to demonstrate any segmental blood supply to the nerve which could explain them. The present study demonstrates such a sectoral blood supply in the optic nerve head and choroid and is of considerable significance in explaining the site of the lesion and the pathogenesis of these defects.

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Book ChapterDOI

Cilioretinal Artery Occlusion

TL;DR: The cilioretinal artery was first described by Muller in 1856 and usually arises from the peripapillary choroid or directly from one of the short posterior ciliary arteries; this origin has important clinical implications, as discussed below.
Book ChapterDOI

The Posterior Ciliary Artery

TL;DR: The posterior ciliary artery (PCA) is the main source of blood supply to the optic nerve head (ONH), the choroid up to the equator, the retinal pigment epithelium (RPE), the outer 130 μ of the retina (and, when a cilioretinal artery is present, the entire thickness ofThe retina in that region).
Journal ArticleDOI

Challenging Diagnosis of Atypical Toxoplasmic Neuroretinitis in Children: A Case Series

TL;DR: Toxoplasmosis may present as unilateral neuroretinits and may resemble other optic nerve inflammation at its initial presentation.
Journal ArticleDOI

Bilateral simultaneous inferior altitudinal hemianopia due to ischemic optic neuropathy.

TL;DR: This case suggests that symmetrical and simultaneous bilateral defects of visual fields may be due to a prechiasmal lesion of the visual pathways.
Journal ArticleDOI

The Incidence, Heredity and Aetiology of Open Angle Glaucoma

TL;DR: This paper reviews the literature available in terms of incidence, aetiology and genetic basis, together with the relationship between intraocular pressure, blood pressure, and optic nerve disease and concludes that current views in each area of the disease are diverse.
References
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Journal ArticleDOI

Text book of ophthalmology

Journal ArticleDOI

The Vertebrate Visual System

Paul G. Roofe
- 01 Jul 1958 - 
TL;DR: The 418 pages devoted to these and other structures portray the system as a whole in an orderly fashion and with considerable new material, including a detailed account of the blood supply and drainage.
Journal ArticleDOI

The Visual fields

Journal ArticleDOI

The visual fields