Master Visual Field Defects - Left Lower Quadrantic Anopia with Picmonic for Medicine

This anopia consists of partial vision loss in both eyes.

A quarter of the same visual field is lost in the inferior portion of each eye, giving the appears of a slice of “pie on the floor.”

This is the dorsal part of the pathway that carries information to the primary visual cortex on the shortest pathway via the internal capsule. Lesion of these fibers on the right side of the brain leads to loss of vision in the left lower quarters of both eyes.

The dorsal optic radiation is housed in the parietal lobe. Lesion of the optic radiation on one side of the brain leads to contralateral lower quadrantic anopia.

Inferior branch of the middle cerebral artery supplies the optic radiations. An infarct of the MCA would cause ischemia in the areas which it supplies. A lack of blood supply to the right dorsal optic radiation would cause a lesion in this pathway, leading to left lower quadrantic anopia.