A 43-year-old woman underwent a routine eye checkup and was found to have a visual field cut by her ophthalmologist. Despite having a medical history of diabetes, hypertension, and glaucoma, her conditions were well-controlled and did not appear to be causing any retinopathy or optic neuropathy. The patient had not experienced any visual disturbances such as blurred or decreased visual acuity, double vision, enlarged blind spots, or changes in color vision. However, the patient had left homonymous hemianopia with a loss of the temporal visual field of her left eye and the nasal visual field of her right eye. The patient denied any symptoms such as headaches, confusion, changes in speech, weakness, changes in sensation, or urinary dysfunction. On examination, the patient's mental status was normal, cranial nerve examination revealed normal visual acuity bilaterally, and funduscopic exam revealed sharp optic discs bilaterally without evidence of papilledema. Color vision was also normal. Kindly provide a diagnosis and suggest further management.

  • #ophthalmology
  • #neurology

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Dr. U N

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Based on the symptoms described, the most likely diagnosis is a stroke affecting the posterior cerebral artery, resulting in left homonymous hemianopia.

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