hemianopsia

Summary

Summary: Partial or complete loss of vision in one half of the visual field(s) of one or both eyes. Subtypes include altitudinal hemianopsia, characterized by a visual defect above or below the horizontal meridian of the visual field. Homonymous hemianopsia refers to a visual defect that affects both eyes equally, and occurs either to the left or right of the midline of the visual field. Binasal hemianopsia consists of loss of vision in the nasal hemifields of both eyes. Bitemporal hemianopsia is the bilateral loss of vision in the temporal fields. Quadrantanopsia refers to loss of vision in one quarter of the visual field in one or both eyes.

Top Publications

  1. Kerkhoff G, Schenk T. Line bisection in homonymous visual field defects - Recent findings and future directions. Cortex. 2011;47:53-8 pubmed publisher
    ..Thus, far from concluding the research on the line-bisection error in hemianopia, the recent series of publications on this topic serve as a welcome reminder of how much more research is needed...
  2. Bowers A, Mandel A, Goldstein R, Peli E. Driving with hemianopia, II: lane position and steering in a driving simulator. Invest Ophthalmol Vis Sci. 2010;51:6605-13 pubmed publisher
    ..The hypothesis that drivers with homonymous hemianopia (HH) would take a lane position that increased the safety margin on their blind side was tested with a driving simulator...
  3. Nelles G, Pscherer A, de Greiff A, Forsting M, Gerhard H, Esser J, et al. Eye-movement training-induced plasticity in patients with post-stroke hemianopia. J Neurol. 2009;256:726-33 pubmed publisher
    ..A relative decrease of activation was found in the left FEF. In this group of patients, eye-movement training induced altered brain activation in the striate and extrastriate cortex as well as in oculomotor areas...
  4. Schuett S, Dauner R, Zihl J. Line bisection in unilateral homonymous visual field defects. Cortex. 2011;47:47-52 pubmed publisher
    ..Yet, they also suggest that, although the visual field defect does not seem to be the primary cause of the contralesional bisection error, it may nevertheless contribute to it...
  5. Zihl J, Sämann P, Schenk T, Schuett S, Dauner R. On the origin of line bisection error in hemianopia. Neuropsychologia. 2009;47:2417-26 pubmed publisher
  6. Henriksson L, Raninen A, Näsänen R, Hyvärinen L, Vanni S. Training-induced cortical representation of a hemianopic hemifield. J Neurol Neurosurg Psychiatry. 2007;78:74-81 pubmed
    ..Previous imaging studies suggest an important role for extrastriate cortical areas in such residual vision, but results of training to improve vision in patients with hemianopia are conflicting...
  7. Schuett S. The rehabilitation of hemianopic dyslexia. Nat Rev Neurol. 2009;5:427-37 pubmed publisher
    ..Indeed, more research is required to further improve the efficiency of rehabilitation in patients with hemianopic dyslexia...
  8. Marshall R, Chmayssani M, O Brien K, Handy C, Greenstein V. Visual field expansion after visual restoration therapy. Clin Rehabil. 2010;24:1027-35 pubmed publisher
    ..To determine whether visual field expansion occurs with visual restoration therapy (VRT), using fundus-controlled microperimetry to assess visual fields...
  9. Passamonti C, Bertini C, Ladavas E. Audio-visual stimulation improves oculomotor patterns in patients with hemianopia. Neuropsychologia. 2009;47:546-55 pubmed publisher
    ..Interestingly, the improvement was found to be stable at a 1 year follow-up control session, indicating a long-term persistence of treatment effects on the oculomotor system...

More Information

Publications65

  1. Elgin J, McGwin G, Wood J, Vaphiades M, Braswell R, DeCarlo D, et al. Evaluation of on-road driving in people with hemianopia and quadrantanopia. Am J Occup Ther. 2010;64:268-78 pubmed
    ..To examine whether some drivers with hemianopia or quadrantanopia display safe driving skills on the road compared with drivers with normal visual fields...
  2. Lewald J, Peters S, Tegenthoff M, Hausmann M. Distortion of auditory space in hemianopia. Eur J Neurosci. 2009;30:1401-11 pubmed publisher
    ..Taken together, one may conclude that processes of cross-modal spatial adaptation, but not those of compensatory plasticity, occurred in patients with hemianopia...
  3. Schuett S, Kentridge R, Zihl J, Heywood C. Adaptation of eye-movements to simulated hemianopia in reading and visual exploration: Transfer or specificity?. Neuropsychologia. 2009;47:1712-20 pubmed publisher
    ..Efficient oculomotor adaptation to visual field loss is highly specific and task-dependent...
  4. Giorgi R, Woods R, Peli E. Clinical and laboratory evaluation of peripheral prism glasses for hemianopia. Optom Vis Sci. 2009;86:492-502 pubmed publisher
    ..Homonymous hemianopia (the loss of vision on the same side in each eye) impairs the ability to navigate and walk safely. We evaluated peripheral prism glasses as a low vision optical device for hemianopia in an extended wearing trial...
  5. Romano J. Progress in rehabilitation of hemianopic visual field defects. Cerebrovasc Dis. 2009;27 Suppl 1:187-90 pubmed publisher
    ..The possible mechanisms that underlie recovery of visual fields are explored. In summary, visual rehabilitation is available and should be considered for stroke survivors with VFDs...
  6. Weil R, Plant G, James Galton M, Rees G. Neural correlates of hemianopic completion across the vertical meridian. Neuropsychologia. 2009;47:457-64 pubmed publisher
    ..These results are discussed in the context of illusory contour completion in healthy subjects and more generally in the recovery of function after brain damage. ..
  7. Kuhn C, Heywood C, Kerkhoff G. Oblique spatial shifts of subjective visual straight ahead orientation in quadrantic visual field defects. Neuropsychologia. 2010;48:3205-10 pubmed publisher
    ..In conclusion, our study reveals a hitherto unreported oblique spatial shift of subjective visual body orientation towards the blind quadrants in non-neglecting patients with quadranopia...
  8. Warren M. Pilot study on activities of daily living limitations in adults with hemianopsia. Am J Occup Ther. 2009;63:626-33 pubmed
    I sought to obtain a general understanding of the limitations in activities of daily living (ADLs) experienced by adults with hemianopsia and quandrantanopsia from acquired brain injury.
  9. Wagenbreth C, Franke G, Sabel B, Gall C. [Impairments of vision- and health-related quality of life in stroke patients with homonymous visual field defects depend on severity of visual function loss]. Klin Monbl Augenheilkd. 2010;227:138-48 pubmed publisher
  10. Rousseaux M, Bernati T, Saj A, Kozlowski O. Ineffectiveness of prism adaptation on spatial neglect signs. Stroke. 2006;37:542-3 pubmed
    ..To evaluate the effect of prism adaptation (PA) on spatial neglect signs...
  11. Mannan S, Pambakian A, Kennard C. Compensatory strategies following visual search training in patients with homonymous hemianopia: an eye movement study. J Neurol. 2010;257:1812-21 pubmed publisher
    ..Taken together these results suggest that visual training facilitates the development of specific compensatory eye movement strategies in patients with homonymous visual field defects...
  12. Wood J, McGwin G, Elgin J, Vaphiades M, Braswell R, DeCarlo D, et al. On-road driving performance by persons with hemianopia and quadrantanopia. Invest Ophthalmol Vis Sci. 2009;50:577-85 pubmed publisher
    ..This study was designed to examine the on-road driving performance of drivers with hemianopia and quadrantanopia compared with age-matched controls...
  13. Schofield T, Leff A. Rehabilitation of hemianopia. Curr Opin Neurol. 2009;22:36-40 pubmed publisher
    ..These techniques all rely on mass practice. This review provides an up-to-date summary of these approaches...
  14. Spitzyna G, Wise R, McDonald S, Plant G, Kidd D, Crewes H, et al. Optokinetic therapy improves text reading in patients with hemianopic alexia: a controlled trial. Neurology. 2007;68:1922-30 pubmed
  15. Verlohr D, Dannheim F. The visual performance test: indications for compensational visual rehabilitation training and first results. Strabismus. 2007;15:63-8 pubmed
    ..The results show that the visual performance test reflects the practical abilities of these patients and that it may monitor the benefit of visual rehabilitation training in patients with functional restrictions in daily life...
  16. Arai A, Morishita A, Hanada Y, Aihara H. Solitary metastatic tumor within the optic chiasm--case report. Neurol Med Chir (Tokyo). 2010;50:158-61 pubmed
  17. Van der Stigchel S, van Zoest W, Theeuwes J, Barton J. The influence of "blind" distractors on eye movement trajectories in visual hemifield defects. J Cogn Neurosci. 2008;20:2025-36 pubmed publisher
  18. Mueller I, Mast H, Sabel B. Recovery of visual field defects: a large clinical observational study using vision restoration therapy. Restor Neurol Neurosci. 2007;25:563-72 pubmed
    ..We now evaluated the outcome of VRT in a large sample of clinical patients and studied factors contributing to subjective and objective measures of visual field alterations...
  19. Taravati P, Woodward K, Keltner J, Johnson C, Redline D, Carolan J, et al. Sensitivity and specificity of the Humphrey Matrix to detect homonymous hemianopias. Invest Ophthalmol Vis Sci. 2008;49:924-8 pubmed publisher
    ..To compare the sensitivity and specificity of the Humphrey Matrix frequency-doubling perimeter (Carl Zeiss Meditec, Inc., Dublin, CA) to that of standard automated perimetry (SAP) in detecting homonymous hemianopic visual field defects...
  20. Papageorgiou E, Hardiess G, Schaeffel F, Wiethoelter H, Karnath H, Mallot H, et al. Assessment of vision-related quality of life in patients with homonymous visual field defects. Graefes Arch Clin Exp Ophthalmol. 2007;245:1749-58 pubmed
  21. Roth T, Sokolov A, Messias A, Roth P, Weller M, Trauzettel Klosinski S. Comparing explorative saccade and flicker training in hemianopia: a randomized controlled study. Neurology. 2009;72:324-31 pubmed publisher
    ..We examined whether explorative saccade training (EST), compared with flicker-stimulation training (FT), would selectively improve saccadic behavior on the patients' blind side and benefit performance on natural exploratory tasks...
  22. Raninen A, Vanni S, Hyvärinen L, Näsänen R. Temporal sensitivity in a hemianopic visual field can be improved by long-term training using flicker stimulation. J Neurol Neurosurg Psychiatry. 2007;78:66-73 pubmed
    ..Although hemianopia severely limits activities of daily life, current clinical practice comprises no training of visual functions in the blind hemifield...
  23. Lewald J, Peters S, Tegenthoff M, Hausmann M. Dissociation of auditory and visual straight ahead in hemianopia. Brain Res. 2009;1287:111-7 pubmed publisher
    ..With respect to therapies for rehabilitation of hemianopia, these findings may support recent approaches, in which visual stimuli are combined with auditory stimuli in order to improve visual search behaviour...
  24. Monteiro M, Moura F, Cunha L. Frequency doubling perimetry in patients with mild and moderate pituitary tumor-associated visual field defects detected by conventional perimetry. Arq Bras Oftalmol. 2007;70:323-9 pubmed
    ..To test the ability of frequency doubling technology (FDT) perimetry to identify pituitary tumor-associated visual field defects...
  25. Leo F, Bolognini N, Passamonti C, Stein B, Ladavas E. Cross-modal localization in hemianopia: new insights on multisensory integration. Brain. 2008;131:855-65 pubmed publisher
  26. Schreiber A, Vonthein R, Reinhard J, Trauzettel Klosinski S, Connert C, Schiefer U. Effect of visual restitution training on absolute homonymous scotomas. Neurology. 2006;67:143-5 pubmed
    ..E was 0.05 +/- 0.05 (mean +/- SD). The authors observed a relevant training effect (E >or= 0.12) in two subjects, but only monocularly. VRT has little effect on absolute HVFDs in SAP...
  27. Jobke S, Kasten E, Sabel B. Vision restoration through extrastriate stimulation in patients with visual field defects: a double-blind and randomized experimental study. Neurorehabil Neural Repair. 2009;23:246-55 pubmed publisher
    ..The question arises if the efficiency of restoration can be increased when the entire region of blindness is trained by a visual stimulus aimed at activating extrastriate pathways (extrastriate VRT)...
  28. Kerkhoff G, Bucher L. Line bisection as an early method to assess homonymous hemianopia. Cortex. 2008;44:200-5 pubmed publisher
    ..Finally, we attempt to explain why this formerly well-known clinical phenomenon was forgotten later for nearly a century...
  29. Kasten E, Poggel D. A mirror in the mind: a case of visual allaesthesia in homonymous hemianopia. Neurocase. 2006;12:98-106 pubmed
    ..The rotation of the illusions may be induced by the parietal lesions causing faulty co-ordinate computations, e.g., an inability to integrate visual and otholitic input...
  30. McCarthy R, James Galton M, Plant G. Form completion across a hemianopic boundary: behindsight?. Neuropsychologia. 2006;44:1269-81 pubmed
    ..As such, this disorder has the potential to shed light on some of the most basic aspects of visual perception...
  31. Poppe A, Minuk J, Glikstein R, Leventhal M. Fibromuscular dysplasia with carotid artery dissection presenting as an isolated hemianopsia. J Stroke Cerebrovasc Dis. 2007;16:130-4 pubmed
    ..The latter situation can arise when there is persistent fetal circulation of the posterior cerebral artery and has, to our knowledge, never been reported in the setting of fibromuscular dysplasia (FMD) involving the ICA...
  32. Nelles G, Pscherer A, de Greiff A, Gerhard H, Forsting M, Esser J, et al. Eye-movement training-induced changes of visual field representation in patients with post-stroke hemianopia. J Neurol. 2010;257:1832-40 pubmed publisher
    ..No changes in the size of visual field defects were found. In this group of patients, eye-movement training induced altered brain activation in the unaffected extrastriate cortex...
  33. Bowers A, Mandel A, Goldstein R, Peli E. Driving with hemianopia, I: Detection performance in a driving simulator. Invest Ophthalmol Vis Sci. 2009;50:5137-47 pubmed publisher
    ..This study was designed to examine the effect of homonymous hemianopia (HH) on detection of pedestrian figures in multiple realistic and hazardous situations within the controlled environment of a driving simulator...
  34. Kedar S, Zhang X, Lynn M, Newman N, Biousse V. Congruency in homonymous hemianopia. Am J Ophthalmol. 2007;143:772-80 pubmed
    ..To evaluate the value of congruency in the localization of brain lesions in patients with homonymous hemianopia (HH)...
  35. Sarri M, Kalra L, Greenwood R, Driver J. Prism adaptation changes perceptual awareness for chimeric visual objects but not for chimeric faces in spatial neglect after right-hemisphere stroke. Neurocase. 2006;12:127-35 pubmed
    ..Prism therapy dramatically improved awareness for the identity of the left side of chimeric non-face objects, but had no effect on judging expressions for chimeric faces. The latter may thus be unique in showing no prism benefit...
  36. Zhang X, Kedar S, Lynn M, Newman N, Biousse V. Natural history of homonymous hemianopia. Neurology. 2006;66:901-5 pubmed
    ..To describe the characteristics of spontaneous recovery of homonymous hemianopia (HH)...
  37. Bergsma D, van der Wildt G. Visual training of cerebral blindness patients gradually enlarges the visual field. Br J Ophthalmol. 2010;94:88-96 pubmed publisher
    Multiple studies on recovery of hemianopsia after cerebrovascular accident report visual-field enlargements after stimulation of the visual-field border area...
  38. Sahraie A, Trevethan C, MacLeod M. Temporal properties of spatial channel of processing in hemianopia. Neuropsychologia. 2008;46:879-85 pubmed
    ..The findings have implications both for the reported incidence of blindsight and development of rehabilitation strategies...
  39. Pambakian A, Currie J, Kennard C. Rehabilitation strategies for patients with homonymous visual field defects. J Neuroophthalmol. 2005;25:136-42 pubmed
    ..Despite the considerable ingenuity that has been applied and anecdotal evidence that has accumulated, rigorously controlled trials that clearly establish efficacy of any method are lacking. ..
  40. Horton J. Disappointing results from Nova Vision's visual restoration therapy. Br J Ophthalmol. 2005;89:1-2 pubmed
  41. Thomas D, Thomas R, Muliyil J, George R. Role of frequency doubling perimetry in detecting neuro-ophthalmic visual field defects. Am J Ophthalmol. 2001;131:734-41 pubmed
    ..A normal 20-5 program (absence of a single abnormal point) almost "rules out" a defect. Frequency doubling perimetry could not accurately categorize hemianopic, quadrantanopic, or glaucomatous defects. ..
  42. Peli E. Field expansion for homonymous hemianopia by optically induced peripheral exotropia. Optom Vis Sci. 2000;77:453-64 pubmed
    ..To describe a novel method for prism correction of hemianopia that provides field-of-view expansion in a convenient and functional format and to evaluate initial clinical application...
  43. Kentridge R, Heywood C, Weiskrantz L. Attention without awareness in blindsight. Proc Biol Sci. 1999;266:1805-11 pubmed
    ..We concluded that the spatial selection of information by an attentional mechanism and its entry into conscious experience cannot be one and the same process...
  44. McGee H, Egan R, Clark W. Visual field defect and intracerebral hemorrhage associated with use of vardenafil (Levitra). Neurology. 2005;64:1095-6 pubmed
  45. Doricchi F, Guariglia P, Figliozzi F, Silvetti M, Bruno G, Gasparini M. Causes of cross-over in unilateral neglect: between-group comparisons, within-patient dissociations and eye movements. Brain. 2005;128:1386-406 pubmed
    ..This explanation establishes coherence between cross-over and current accounts of the neglect syndrome...
  46. Hashizume Y, Yoshida M, Suzuki E, Hirayama M. A 65-year-old man with headaches and left homonymous hemianopsia. Neuropathology. 2004;24:350-3 pubmed
  47. Pambakian A, Wooding D, Patel N, Morland A, Kennard C, Mannan S. Scanning the visual world: a study of patients with homonymous hemianopia. J Neurol Neurosurg Psychiatry. 2000;69:751-9 pubmed
    ..The effects of various lesion parameters including location, size, and age on the evolution of such strategies were considered...
  48. Barton J, Black S. Line bisection in hemianopia. J Neurol Neurosurg Psychiatry. 1998;64:660-2 pubmed
    ..The contralateral bias in hemianopia may represent either non-veridical spatial representation within a visual hemifield or a consequence of the strategic adaptation of attention into contralateral hemispace after hemianopia...
  49. McIntosh R, Rossetti Y, Milner A. Prism adaptation improves chronic visual and haptic neglect: a single case study. Cortex. 2002;38:309-20 pubmed
    ..Moreover, the improvement observed on the haptic task supports the belief that this procedure can influence higher levels of spatial representation...
  50. Ferber S, Karnath H. Size perception in hemianopia and neglect. Brain. 2001;124:527-36 pubmed
    ..The perceptual distortion of objects in the leftward parts of visual space is not sufficient to account for the occurrence of visuospatial neglect...
  51. Pambakian A, Mannan S, Hodgson T, Kennard C. Saccadic visual search training: a treatment for patients with homonymous hemianopia. J Neurol Neurosurg Psychiatry. 2004;75:1443-8 pubmed
    ..We hypothesised that by training patients to improve the efficiency of eye movements made in their blind field their disability would be alleviated...
  52. Nelles G, Esser J, Eckstein A, Tiede A, Gerhard H, Diener H. Compensatory visual field training for patients with hemianopia after stroke. Neurosci Lett. 2001;306:189-92 pubmed
    ..The size of scotoma on computerized perimetry, in contrast, remained unchanged. Training improved detection of and reaction to visual stimuli without restitution of the visual field defect...
  53. Han L, Law Gibson D, Reding M. Key neurological impairments influence function-related group outcomes after stroke. Stroke. 2002;33:1920-4 pubmed
    ..The goal of this study was to assess the influence of motor, somatosensory, and hemianopic visual impairments on FRG outcomes after stroke...
  54. Tsai M, Huang Y, Lin T. Development of tuberculoma during therapy presenting as hemianopsia. Pediatr Neurol. 2004;31:360-3 pubmed
    ..Nine weeks after the initiation of antituberculous therapy, markedly impaired visual acuity and bitemporal hemianopsia were observed...
  55. Reinhard J, Schreiber A, Schiefer U, Kasten E, Sabel B, Kenkel S, et al. Does visual restitution training change absolute homonymous visual field defects? A fundus controlled study. Br J Ophthalmol. 2005;89:30-5 pubmed
    ..To examine whether visual restitution training (VRT) is able to change absolute homonymous field defect, assessed with fundus controlled microperimetry, in patients with hemianopia...
  56. Bolognini N, Rasi F, Coccia M, Ladavas E. Visual search improvement in hemianopic patients after audio-visual stimulation. Brain. 2005;128:2830-42 pubmed
    ..These findings are very promising with respect to the possibility of taking advantage of human multisensory capabilities to recover from unimodal sensory impairments...