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Ophthalmology General 59d21cbf

The MOST likely site of lesion in a patient with Wernicke's hemianopic pupil is:

A
Optic nerve
B
Optic tract
C
Optic chiasma
D
Optic radiation
High-Yield Explanation
Wernicke's hemianopic pupil indicates lesion in the optic tract. In this condition light reflex is absent when light is thrown on temporal half of the retina of the affected side and nasal half of retina of the opposite side. In this condition light reflex is present when light is thrown on nasal half of affected side and temporal half of affected side. This patient also has homonymous hemianopia. Ref: Textbook of Ophthalmology edited by Sunita Agarwal, page 304.

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