Child health · UKMLA & AKT

Bitemporal hemianopia

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise bitemporal hemianopia — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Optic chiasm sits above the pituitary - crossing nasal retinal fibres (carrying temporal field information) are most vulnerable to compression
  • Compression disrupts decussating fibres bilaterally → loss of temporal field in both eyes → bitemporal hemianopia; nasal fields preserved

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