Child health · UKMLA & AKT

Monocular vision loss and scotomas

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

Key high-yield points

  • Lesion anterior to chiasm (optic nerve/retina) → monocular visual loss only
  • Lesion at or behind chiasm → binocular homonymous field defects (same side of visual field in both eyes)
  • Defect is always contralateral to the lesion

Left parietal lobe lesion → disrupts superior fibres of right optic radiation → right homonymous inferior quadrantanopia. Left temporal lobe lesion → Meyer's loop → right homonymous superior quadrantanopia.

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