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what is the line of decussation
divides nasal and temporal retina
% of ganglion cells in the macular and fovea
66-75%
describe pathway of axons arising from GC in nasal superior and inferior retinal quadrants to the nerve head
direct
describe pathway of axons arising from GC temporally to the macula
arcuate course around fovea centralis
describe pathway of axons arising from GC in the fovea and macula to the nerve head
directly
aka papillomacular bundle
how do ganglion cell axons preserve topography / maps
peripheral axons from superior, nasal, inferior and temporal quadrants enter ONH peripherally
central axons enter more centrally
what is present below the optic chiasm
pit gland
what is present above the optic chiasm
hypothalamus
3rd ventricle
what is present laterally to the optic chiasm
Internal carotid artery
cavernous sinus
what is the cavernous sinus
network of small arteries and veins that sit behind the orbit
what do the arteries around the optic chiasm form
circle of willis
where does the orbital nerve receive blood from
ophthalmic artery
where does the canalicular nerve receive blood from
short branches from anterior cerebral and anterior communicating arteries
where does the cranial nerve & chiasm receive blood from
short branches from posterior cerebral and posterior communicating arteries
what can compression of the chiasm at the midline be caused by
pituitary tumour (adenoma)
raised pressure in the 3rd ventricle
what can compression in the chiasm at the midline cause
bi-temporal hemi anopsia
what can compression of temporal axons be caused by
ICA outpocketing due to an aneurysm
cavernous sinus expansion due to thrombosis
where is the VF loss if a pituitary adenoma initially compresses axons from nasal inferior retina
superior temporal VF
where do nasal axons from the opposite eye terminate in the LGN
layers 1,4,6
where do temporal axons from the same eye terminate in the LGN
layers 2,3,5
what is the function of the LGN
organise retinal inputs from 2 eyes into alt maps of the opposite hemi-field
where does the LGN relay info to
V1
on the same side of the brain via axons that arise from the LGN in each layer
where do the axons from the LGN first travel to
posterior limb of internal capsule
THEN
optic radiations to area V1
what does the medial half of the LGN represent
lower visual quadrant of VF
what does the lateral half of the LGN represent
upper visual quadrant of VF
where do the optic radiations from the medial half of LGN go
upper bank of calcarine sulcus
where do the optic radiations from the lateral half of LGN go
lower bank of calcarine sulcus
what is 'Meyer's loop' and why is formed
inferior horn of the lateral ventricle causes an obstruction
axons from lateral half of LGN have to travel anteriorly then loop around to join the optic radiations
what is the blood supply for axons in 1st part of radiations after the internal capsule
middle cerebral artery
what is the blood supply for axons in the last part of radiations under the occipital lobe
posterior cerebral artery
what is the blood supply for calcarine sulcus upper and lower banks
calcarine artery
what is the blood supply for occipital pole
dual supply of calcarine artery and terminal branch of MCA?
what does damage at the optic nerve cause
blindness in visual field
one eye damaged
what does damage at the midline / chiasm cause
nasal axons destroyed
bi-temporal hemi-anopsia
what does damage of the optic tract cause
lose one half of the vision field
what does damage at meyer's loop cause
upper quadrant anopsia