Child health · UKMLA & AKT

Quadrantanopia

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

Key high-yield points

  • Optic radiation splits after the LGN into two bundles travelling through different lobes - focal lesions disrupt only one bundle, producing a quadrant defect rather than full hemianopia
  • Meyer's loop (temporal lobe) - carries lower retinal fibres = upper visual field information; loops anteriorly through temporal lobe to lower calcarine sulcus
  • Parietal fibres - carry upper retinal fibres = lower visual field information; travel superior route through parietal lobe to upper calcarine sulcus
  • All post-chiasmal lesions → homonymous defects, contralateral to the lesion

PITS mnemonic: Parietal → Inferior quadrantanopia; Temporal → Superior quadrantanopia

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