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How does a visual field loss happen?
 
Why do I have a visual field loss even though my eyes are fine?
The light rays of an object are gathered through the optical apparatus (cornea, aqueous fluid, lense, vitreous body) and appear upside down and smaller on the retina. The visual impression is then transferred into electrical impulses. These are then routed via the optical nerve, the visual pathway and the visual cortex to the anterior cerebral cortex. Here the processing of sight information is carried out: colours, shapes, proportions or patterns are recognised here.

The information is transferred from the visual centre to many other regions of the cerebral cortex. This is how familiar persons or objects are recognised, reading, finding the correct way und the correct control of hand movements is carried out.
 
Skizze: vom Auge bis zum Sehzentrum
 
If there is nerve damage (lesions) on the path between the retina to the visual centre or in the visual centre itself then the original "picture" can only be partially transferred or processed. In the unprocessed part the affected person is blind – he or she has a visual field loss in that area.
 
I. optic nerve = Nervus opticus
II. optic chiasm = Chiasma opticum
III. optic tract = Tractus opticus
IV. primary visual centre (lateral geniculate body) = Corpus geniculatum laterale
V. optic radiation = Radiation optica
VI. visual cortex = kortikales Sehzentrum
Skizze: Auge und Gehirn
 
As a result of damage to the visual centre in the right hemisphere both eyes but only the left visual field are affected,. the affected person is unable to see anything left of centre through either eyes. This type of visual impairment is called a "left-sided hemianopia".
 
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