ABSTRACT
A 68-year-old male with past history of hypertension presents to the local ophthalmologist on referral from the local neurologist to evaluate visual fields after a presumed stroke. The patient was well until one evening when he became confused and was taken to the emergency room. An MRI of the brain is shown below (Figure 11.1). Based on that finding, neurosurgical consult was obtained, as well as an ophthalmologic consult. On examination, the visual acuity is 20/30 in each eye. Confrontation visual fields indicate a left homonymous hemianopsia; Goldmann visual fields are shown below (Figures 11.2 and 11.3). The remainder of the eye exam is unremarkable. As neurosurgery is planning biopsy of this lesion, the patient asks if anything can be done to help his vision if it does not recover on its own following surgery and planned chemotherapy/radiation therapy.
