Patient Presentation: A 44-year-old male was referred to a neuro-ophthalmology clinic for a new visual field defect. His visual acuity was 20/20 OU. OCT ganglion cell – inner plexiform layer (GCIPL) analysis is shown below.
Question: Based on the OCT images, what visual field defect do you expect the patient present with?
Question: A right relative afferent pupillary defect was noted in the patient. Where does the lesion localize?
Question: Based on the retrochiasmal location of the lesion at the optic nerve tract, what type of deficit do you expect to see in OCT RNFL?
1. Describing the presentation and localization of homonymous hemianopia visual field defects
2. Recognizing bow-tie atrophy defects on RNFL OCT.