Homonymous Hemianopia and Glaucomatous Optic Disc Changes: Rare Co-Existence

International Journal of Research in Health Sciences,2016,4,2,55-59.
Published:April 2016
Type:Case Report
Author(s) affiliations:

Sharma V1, Sharma K2, Parmar D3, Pandey ML4

1Associate Professor, 2Senior Resident, 3Junior Resident, 4Professor. Dept of Ophthalmology Indira Gandhi Medical College, Shimla,Himachal Pradesh, INDIA.


Homonymous hemianopia is a visual field defect involving either two right or the two left halves of the visual field of both eye. It results from the damage of the visual pathway in its suprachiasmatic part. The causes of homonymous heminopia include stroke, brain tumors, head injuries, neurosurgical procedures, multiple sclerosis and miscellaneous conditions. It is challenging task to differentiate whether optic disc changes or visual field defects are secondary to glaucoma or neurological causes. We report a case of 42 yrs old male with chief complaint diminution of vision in left eye for 5 months with optic cup disc ratio of right eye 0.6 and left eye 0.8 with inferior focal notching in left eye, temporal pallor both eyes on fundus examination and left homonymous hemianopia on perimetry. Thus this case presents a rare coexistence of glaucomatous optic disc changes associated with left homonymous hemianopia.

Fundus photograph of left eye showing inferior notching and temporal pallor