[Traumatic homonymous hemianopsia and ganglion cell complex changes: Report of 3 cases]

J Fr Ophtalmol. 2018 Dec;41(10):910-915. doi: 10.1016/j.jfo.2018.06.003. Epub 2018 Nov 16.
[Article in French]

Abstract

Homonymous lateral hemianopia follows an attack on the contralateral retrochiasmal visual pathways. In three patients with post-traumatic homonymous hemianopia, optical coherence tomographic (OCT) study of the ganglion cell layer thickness showed hemiretinal thinning contralateral to the visual field defect. This involvement could be explained by trans-synaptic degeneration of the pre-geniculate visual pathways, whose cell nuclei correspond to ganglion cells, which synapse with the damaged retrogeniculate visual pathways.

Keywords: Couches des cellules ganglionnaires; Ganglion cell layer thickness; Homonymous lateral hemianopia; Hémianopsie latérale homonyme; Post-traumatique; Traumatic.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Craniocerebral Trauma / complications*
  • Craniocerebral Trauma / pathology
  • Female
  • Hematoma, Epidural, Cranial / diagnosis
  • Hematoma, Epidural, Cranial / etiology
  • Hematoma, Epidural, Cranial / pathology
  • Hemianopsia / diagnosis
  • Hemianopsia / etiology*
  • Hemianopsia / pathology
  • Humans
  • Male
  • Middle Aged
  • Retinal Ganglion Cells / pathology*
  • Retrograde Degeneration / diagnosis
  • Retrograde Degeneration / etiology
  • Retrograde Degeneration / pathology