Retinal Ganglion Cell Atrophy in Homonymous Hemianopia due to Acquired Occipital Lesions Observed Using Cirrus High-Definition-OCT

Figure 5

Case 7. (a) Fundus photographs at the time of OCT. (b) Visual fields obtained by static automated perimetry showing right inferior homonymous quadrantanopia. (c) Initial DWI revealed a hyperintense lesion on the left occipital lobe (left). One day after onset, a FLAIR image demonstrated a hyperintense lesion, which represented an acute phase of hemorrhagic stroke (right). (d) GCL+IPL thinning was observed in the superior nasal retina of the RE and the superior temporal retina of the LE. Similarly, an abnormal area in the deviation map was present corresponding to the hemianopic visual field defects. (e) The cpRNFL clock-hour sector map showed that all cpRNFL thicknesses in both eyes were within the normal range.

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