Macular Sparing Homonymous Quadranopsia Induced by Occipital Infarction-Case Report

Purpose: To present a case who suffered from macular sparing homonymous quadranopsia induced by occipital infarction. Methods: Interventional case report. Results: This 61 -year-old male non-smoker had no previous ocular or medical history. He suffered from sudden onset of bilateral left lower quadrantal scotoma. No headache, nausea, vomiting, motor disorder or other discomfort was mentioned. Best corrected visual acuity was 1.0 and 0.9. The fundus photography showed no disc edema. Visual field examination revealed symmetric left lower quadranopsia. Brain magnetic resonance imaging demonstrated subacute infarction in the right posterior cerebral territory. Right occipital infarction was diagnosed. The clinical findings were compatible with image findings. Conclusion: When a patient complained of sudden onset of visual field defect even with good vision, normal ocular findings, and no other neurologic impairment, occipital infarction should be considered. Early detection and treatment may prevent further sequelae.