Visual Field Defects in Congenital Hydrocephalus

  • H. Bynke
  • L. Vestergren-Brenner
Part of the Documenta Ophthalmologica Proceedings Series book series (DOPS, volume 19)


Various kinds of visual field defects were found in 15 patients with congenital hydrocephalus and optic atrophy. Paracentral defects and caecocentral scotomata were most frequent and occurred in 8 patients. These defects were ascribed to direct or indirect compression of the chiasma and the optic nerves by a distended third ventricle during attacks of intracranial hypertension. Although the pale optic discs had abnormally sharp borders, transient papilloedema had occurred in the majority of these cases. Concentric contraction and optic atrophy with blurred discs after papilloedema were found in 2 patients and dense central scotomata due to macular changes in 3. The remaining 2 patients had homonymous hemianopic defects, i.e. lesions of the post-chiasmatic visual pathway.


Retinal Nerve Fibre Layer Intracranial Hypertension Visual Field Defect Optic Atrophy Concentric Contraction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Bynke, H. & Heijl, A. Automatic computerized perimetry in the detection of neurolo-gical visual field defects. A pilot study. Graefes Arch. Ophthal. (1978).Google Scholar
  2. Bynke, H., Heijl, A. & Holmin, C. Automatic computerized perimetry in neuro-oph-thalmology. Docum. Ophthal. Proc. Series (1978).Google Scholar
  3. Heijl, A. & Krakau, C.E.T. An automatic perimeter for glaucoma visual field screening and control. Construction and clinical cases. Graefes Arch. Ophthal. 197: 13–23 (1975).Google Scholar
  4. Hoyt, W.F. & Kommerell, G. Der Fundus oculi bei homonymer Hemianopie. Klin. Monatsbl. f Augenheilk 162: 456–464 (1973).Google Scholar
  5. Hughes, E.B.C. Some observations on the visual fields in hydrocephalus.J. Neurol. J. Neurol., Neurosurg. & Psychiat. . 9: 30–39 (1946).CrossRefGoogle Scholar
  6. Lassman, L.P., Cullen, J.F. & Howat, J.M.L. Stenosis of the aqueduct of Sylvius. Am. J. Ophthal. 49: 261–266 (1960).PubMedGoogle Scholar
  7. Smith, J.L., Walsh, T.J. & Shipley, T. Cortical blindness in congenital hydrocephalus. Am. J. Ophthal 62: 251–257 (1966).PubMedGoogle Scholar

Copyright information

© Dr W. Junk bv Publishers 1979

Authors and Affiliations

  • H. Bynke
    • 1
  • L. Vestergren-Brenner
    • 1
  1. 1.University Eye ClinicLundSweden

Personalised recommendations