Atlas of Ophthalmology

Homonymous Hemispheric Degeneration of Retinal Ganglion Cell Layer (OCT Triton, VF)

Retina -> Trauma (Injury)
Patient: female, 51 years of age, BCVA 1.0 at OD, 1.0 at OS, IOP 15/ 16 mmHg, homonymous bilateral hemianopia , traumatic brain injury with subdural hematoma in 03/2017. In 06/2018 visual fields presenting a homonymous bilateral hemianopia caused by a MRI-lesion of the retrochiasmal pathway. The retinal ganglion cell thickness maps showing a homonymous hemispheric thinning due to the transneuronal retrograde degeneration the retinal ganglion cells. Literature: Park HY, Park YG, Cho AH, Park CK. Transneuronal retrograde degeneration of the retinal ganglion cells in patients with cerebral infarction. Ophthalmology. 2013 Jun;120(6):1292-9

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