KROK 1 2019 – Question 180 · KROK (Medicine) · Human Anatomy
A 20-year-old female comes to the clinic after missing her last 2 periods. Her cycles are usually regular, occurring at 28-30 day interval with moderate bleeding and some abdominal discomfort. She also complains of progressively diminishing peripheral vision. Her doctor reveals loss of vision in the lateral halves of both eyes. Involvement of which of the following structures would you most likely expect to be the reason of bitemporal hemianopsia?
- A. Optic chiasm
- B. Right optic tract
- C. Right optic nerve
- D. Left optic tract
- E. Left optic nerve
Hint
Work out which retinal fibres serve the temporal visual fields and at what level of the pathway a single lesion could affect both eyes symmetrically.
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