IMMEDIATE MANAGEMENT OF OCULAR BEE STING RESULTS IN BETTER VISUAL OUTCOME – A CASE REPORT
Homonymous hemianopia (HH) with macular sparing is defined as a homonymous visual field defect sparing the central visual field on the affected side that related with cortex disturbance1. Higher cortical visual disturbances should be suspected when patients have a damage in visual cortex2.
A 67-year-old man with history of ischemic stroke presented with a complaint of narrowing field of view gradually without by vision loss. Patient couldn’t see two halves right of the objects, often stumbling or knocking with objects and difficulties in reading. From anterior and posterior examination of globes shows no abnormality. Several tests related occipital brain function found patient difficult in recognize familiar faces (prosopagnosia), unable to recognize several number in ishihara (cerebral achromatopsia) and difficult in reading but not in writing (alexia without agraphia).
Macular sparing is visual field loss that preserves vision in the center of the visual field, it often appears in people with damage to one hemisphere of their visual cortex3. Higher cortical visual (or association) areas perform the more complex interpretation of visual information. Deficits caused by damage to these areas are characterized by abnormalities in visual processing or attention4.
A complete examinations should be performed by clinician in every patient with occipital lobe stroke, not only the defect of visual field but also another associated symptopms in order to establish the comprehensive diagnostic and managements.
Keywords: Homonymous hemianopia, Macular Sparing
Citation: *, ( 2021), IMMEDIATE MANAGEMENT OF OCULAR BEE STING RESULTS IN BETTER VISUAL OUTCOME – A CASE REPORT. OFTALMOLOGI : Jurnal Kesehatan Mata Indonesia, 3(1): 1
Received: 03/04/2021; Accepted: 03/04/2021;
Reviewed by:Mr.Bagus Ramdan, , PMN Rumah Sakit Mata Cicendo Bandung,