Objective:
To explain in short essays or
diagrams how changes in peripheral vision can be associated with damage to the
retina or central neural pathways, or reflect tumors in the brain, at the level
of 85% proficiency for each student.
In order to achieve this objective, you will need to be able
to:
- Measure peripheral vision in two axes.
- Explain the anatomy of the visual pathways
Materials:
Group Supplies:
colored pencils or pens
visual field diagrams
four colors of string to represent
axons
four colors of beads to represent
cell bodies
Lab Supplies:
disc perimetry device and target
wand
Methods
and Results:
- To test the right eye, have the subject occlude the left
eye.
- Hold the large plastic half disc horizontally against the nose
to test the temporal and nasal fields.
- Have the subject look at the center dot.
- To test the temporal field, hold the wand 1 cm to the
temple side of the center dot and move outward until the peripheral target
disappears. Repeat the test starting at 90o and move toward
the center. Record the point of disappearance and appearance in degrees
on the temporal side of the visual field diagram for the RIGHT eye.
- To test the nasal field, hold the wand near the center dot
and move outward until the peripheral target disappears. Repeat the test
starting at 90o and move toward the center. Record the point
of disappearance and appearance in degrees on the nasal side of the visual
field diagram for the RIGHT eye.
- Hold the large plastic half disc vertically against the
nose to test the superior and inferior fields.
- To test the superior field, hold the wand near the center
dot and move upward until the peripheral target disappears. Repeat the
test starting at 90o and move downward to the center. Record
the point of disappearance and appearance in degrees on the superior field
of the visual field diagram for the RIGHT eye.
- To test the inferior field, hold the wand near the center
dot and move downward until the peripheral target disappears. Repeat the
test starting at 90o and move upward to the center. Record the
point of disappearance and appearance in degrees on the inferior field of
the visual field diagram for the RIGHT eye.
- Repeat for the LEFT eye with the right eye occluded.
Visual Field Diagram – RIGHT Eye
|
Nasal Field
|
Temporal
Field
|
Superior Field
Inferior Field
|
|
Visual Field Diagram – LEFT Eye
|
Nasal Field
|
Temporal
Field
|
Superior Field
Inferior Field
|
|
Construct the visual pathway using different colored beads and string.
Include the cell bodies, axons, and synaptic sites for each pathway. Use beads
to represent cell bodies and string to represent axons. Use a sheet of paper
and label each nucleus and tract as they are relevant.
Use the following description, table
and illustrations as a guide.
- Axons from the retinal ganglion cells travel through the
optic nerves, optic chiasm, and optic tracts to reach the Lateral
Geniculate Nucleus of the Thalamus
- Axons from the retinal ganglion cells of the left
half of each retina synapse on neurons in the Left Lateral Geniculate
Nucleus of the Thalamus.
- Axons from the retinal ganglion cells of the right
half of each retina synapse on neurons in the Right Lateral Geniculate
Nucleus of the Thalamus
- Axons from the retinal ganglion cells also synapse on
neurons in the Superior Colliculus which contain a sensory map and
coordinates orientation of the eyes, head and neck toward visual stimuli.
- Neurons in the Left Lateral Geniculate Nucleus of the
Thalamus synapse on neurons in the Left Primary Visual Cortex.
- Neurons in the Right Lateral Geniculate Nucleus of the
Thalamus synapse on neurons in the Right Primary Visual Cortex.
- Both the Lateral Geniculate Nuclei and the Primary Visual
Cortex contain a sensory map of the entire visual field and process
(filter) visual signals.
Organization of the Visual Pathways
Left Eye
|
Right Eye
|
Left Half
|
Right Half
|
Left Half
|
Right Half
|
Left Optic Nerve
|
Right Optic Nerve
|
Optic Chiasm
|
Left Optic Tract
|
Right Optic Tract
|
Left Optic Tract
|
Right Optic Tract
|
Left Superior Colliculus
Left LGN
|
Right Superior Colliculus
RightLGN
|
Left Superior Colliculus
Left LGN
|
Right Superior Colliculus
RightLGN
|
Left Visual Cortex
|
Right Visual Cortex
|
Left Visual Cortex
|
Right Visual Cortex
|
Pathways to Primary Visual Cortex
Pathways to Superior Colliculus
Discussion:
- The retina extends farther forward on the medial (inside)
of the eye than the lateral (outside). Did this affect the findings?
- Why is the superior field less than the inferior field?
- What accounts for the temporary target disappearance
sometimes noted when testing the temporal fields?
- Could retinal damage be localized based on the results of
this test?
- Think of the situation where reduced field "tunnel
vision" could be dangerous.
- Reduced field of vision is often a symptom of glaucoma.
Can you offer an explanation for this occurrence?
- Diagram the pathway and neurons involved from the retina
to the visual cortex.
- Describe how the tectal system (superior colliculus)
pathways are involved in the control of the extrinsic eye muscles,
circular muscle fibers of the iris, and ciliary muscle.
- Describe the visual disturbance that often accompanies a
pituitary tumor. Explain why this particular pattern is observed.
- If a patient reported that he could not see with his left
eye, how could you tell if the problem was the optic nerve or the optic
radiation? Explain.
© David G. Ward, Ph.D.
Last modified by
wardd
23 May, 2006