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Medicine C.N.S. c431288a

Which one of the following patterns of visual disturbance would be predicted to be demonstrable on examination of this patient?

A
Inferior hemifield loss
B
Temporal quadrantanopsia
C
Uniocular blindness
D
Macular sparing hemianopia
High-Yield Explanation
Answer A. Inferior hemifield lossDilated ophthalmoscopy of this left eye illustrates a nonrefractile plaque in the proximal superior retinal artery with retinal whitening in the superior macula signifying retinal ischemia. Superior retinal ischemia will result in a defect in the inferior visual field, as in this patient. A diagnosis of hemiretinal arterial occlusion was made.

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