[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.145.176.252. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 1948

LOCALIZING VALUE OF VISUAL FIELDS IN PATIENTS WITH EARLY CHIASMAL LESIONS

Author Affiliations

PHILADELPHIA
From the Departments of Ophthalmology and Neuro-Surgery of the Hospital of the University of Pennsylvania.

Arch Ophthalmol. 1948;40(6):579-600. doi:10.1001/archopht.1948.00900030594001
Abstract

THE MAJORITY of patients operated on for tumors in the neighborhood of the chiasm give a history of visual difficulty as their first noticeable complaint. In most cases the patient states that he noticed diminished vision of one eye coming on slowly, for which an oculist or an optometrist was consulted, and that numerous prescriptions for glasses were given without any benefit. The patient frequently states that he went from one eye specialist to another over a period of months, or even years, before some one finally took his visual fields and told him that something was pressing on his visual pathway and referred him to a neurosurgeon for diagnosis and treatment.

The history may also reveal that during this period the patient began to have headaches and various structural and physiologic abnormalities suggestive of pituitary dysfunction, but these symptoms are invariably not his chief complaint and are brought out

First Page Preview View Large
First page PDF preview
First page PDF preview
×