The optic chiasm or optic chiasma is an X-shaped space, located in the forebrain, directly in front of the hypothalamus. Crucial to vision, the left and right optic nerves intersect at the chiasm, thus creating the hallmark X-shape.

What happens when optic chiasm is damaged?

If the optic nerve is damaged in the optic chiasm level, it causes bitemporal hemianopia. This may occur in expanding pituitary adenoma (Figure 1). If optic nerve is damaged posterior to the optic chiasm (optic tract, optic radiation), it causes a visual field defect on the opposite side to the damage [5-7].

Is optic chiasm in thalamus?

The optic chiasm plays a pivotal role in the retinotopic representation of visual input data and is located superior to the pituitary gland, anterior to the pituitary stalk, and inferior to the hypothalamus. … The majority of optic tract axons synapse in the lateral geniculate nucleus (LGN) of the thalamus.

How is the optic chiasm related to the pituitary gland?

The pituitary gland sits in a space called the pituitary sella, which is just a few centimeters behind the eyes. … In other cases, it affects a structure known as the “optic chiasm,” where the optic nerves from each eye merge together. When a pituitary tumor pushes the optic chiasm, it causes visual loss in both eyes.

What occurs at optic chiasm?

In the optic chiasm, the fibers of the nasal retina (i.e., the temporal visual field) of each eye cross, whereas the fibers of the temporal retina (i.e., the nasal visual field) of each eye proceed uncrossed. Thus, each optic tract contains visual fibers from the same hemifield of each eye.

What does optic chiasm mean?

The place in the brain where some of the optic nerve fibers coming from one eye cross optic nerve fibers from the other eye. Also called optic chiasm.

What is chiasm disorder?

Anatomical terms of neuroanatomy. Chiasmal syndrome is the set of signs and symptoms that are associated with lesions of the optic chiasm, manifesting as various impairments of the sufferer’s visual field according to the location of the lesion along the optic nerve.

What causes bitemporal hemianopia?

A bitemporal hemianopia is almost always caused by damage to the optic chiasm and can occur from the direct or indirect effects of a variety of lesions, including tumors,1 aneurysms,2 and, less frequently, inflammatory and ischemic diseases.

Can eye nerve damage be repaired?

Unfortunately, once damaged, the optic nerve cannot be repaired since the damage is irreversible. The optic nerve is composed of nerve fibers that do not possess the ability to regenerate on their own.

How does the optic chiasm work?

The optic chiasm is an X-shaped structure formed by the crossing of the optic nerves in the brain. … 1 It is thought that the crossing and uncrossing optic nerve fibers that travel through the optic chiasm developed in such a way to aid in binocular vision and eye-hand coordination.

Is optic chiasm white matter?

The retinal ganglion cell axons leave the eye by way of the optic nerve, and there is a partial crossing of axons at the optic chiasm. … From there, the LGN axons fan out through the deep white matter of the brain as optic radiations, which will ultimately travel to the primary visual cortex.

Is optic chiasm part of corpus callosum?

In split-brain patients, as you said, the corpus collosum is severed, however the optic chiasm is intact.

Can Microadenoma affect vision?

A normal pituitary gland, or a microadenoma (<1cm in size) have no effect on vision at all.

What is inferior to the optic chiasm?

The tuber cinereum and the infundibulum are posterior, the internal carotid arteries are lateral, and the diaphragm sellae and pituitary gland are inferior to the optic chiasm.

What is a pituitary Macroadenoma?

Pituitary macroadenomas, which are pituitary tumors larger than 1 centimeter, are caused by mutations in the DNA of the cells in the pituitary gland. The exact cause of these mutations is not fully understood.

What happens when light hits a photoreceptor?

When light hits a photoreceptor, it causes a shape change in the retinal, altering its structure from a bent (cis) form of the molecule to its linear (trans) isomer.

What happens to the optic nerve at the optic chiasm?

At a structure in the brain called the optic chiasm, each optic nerve splits, and half of its fibers cross over to the other side. Because of this anatomic arrangement, damage along the optic nerve pathway causes specific patterns of vision loss.

What is the optic radiation?

The optic radiations, or the geniculocalcarine tract, are a projection tract that connects the lateral geniculate nucleus to the primary visual cortex in the occipital lobe. It functions to transmit visual input coming from the retina, the optic nerve, and the optic tract.

Why does pressure on the optic chiasm cause loss of peripheral vision?

The optic nerves meet behind the eye at the optic chiasm. Because the optic chiasm sits above the pituitary gland, a large pituitary tumor can push on the optic nerves or chiasm and cause vision loss. Your peripheral vision is typically affected, but you may also lose central vision and color vision.

What does a swollen optic nerve indicate?

Papilledema is swelling of your optic nerve, which connects the eye and brain. This swelling is a reaction to a buildup of pressure in or around your brain that may have many causes. Often, it’s a warning sign of a serious medical condition that needs attention, such as a brain tumor or hemorrhage.

Why bitemporal hemianopia occur due to pituitary tumor?

Bitemporal hemianopsia is classically associated with suprasellar extension of the pituitary tumor, causing compression of the anterior aspect of the optic chiasm. Other visual field deficits can also occur. Changes in ophthalmologic assessment can be used to monitor the response to therapy.

What does bitemporal hemianopia mean?

Bitemporal hemianopsia (or bitemporal hemianopia) describes the ocular defect that leads to impaired peripheral vision in the outer temporal halves of the visual field of each eye.

What causes Bitemporal upper Quadrantanopia?

Homonymous superior quadrantanopia is caused by damage to the contralateral inferior parts of the posterior visual pathway: the inferior optic radiation (temporal Meyer loop), or the inferior part of the occipital visual cortex below the calcarine fissure.

What vitamin is good for the optic nerve?

Niacin. The main function of niacin (vitamin B3) in your body is to help convert food into energy. It can also act as an antioxidant (22). Recently, studies have suggested that niacin may play a role in the prevention of glaucoma, a condition in which the optic nerve of your eye becomes damaged (23).

Is there surgery for optic nerve?

The most common symptom of optic nerve compression is gradual vision loss or a gradual worsening in your vision. Surgery is the most common treatment to correct optic nerve compression. At UPMC, the preferred surgical treatment for optic nerve compression is the Endoscopic Endonasal Approach (EEA).

Can you go blind from optic nerve damage?

Optic nerve damage is also called optic nerve atrophy or optic neuropathy. The optic nerve is the nerve that connects and transmits information between the eye and the brain. Optic nerve damage can lead to vision distortion, vision loss, and blindness.