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Ophthalmology Neuro-ophthalmology f7e6f75e

Visual field defect in pituitary tumour with supracellar extension is -

A
Bitemporal hemianopia
B
Binasal hemianopia
C
Homonymous hemianopia
D
Pie in the sky vision
High-Yield Explanation
Bitemporal hemianopia. Sagittal (central) lesions of the chiasma. These are characterised by bitemporal hemianopia and bitemporal hemianopic paralysis of pupillary reflexes. These usually lead to paial descending optic atrophy. Common causes of central chiasmal lesion are: suprasellar aneurysms, tumours of pituitary gland, craniopharyngioma, suprasellar meningioma and glioma of third ventricle, third ventricular dilatation due to obstructive hydrocephalus and chronic chiasmal arachnoiditis. Ref:AK Khurana 4thE pg 290

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