VISUAL PATHWAY
VISUAL PATHWAY
- Visual pathway starting from retina.
Consists of:
- Optic nerve
- Optic chiasma
- Optic tracts
- Lateral geniculate bodies
- Optic radiations (geniculocalcarine pathway)
- Visual cortex

OPTIC NERVE
- Also known as cranial nerve II.
- Paired nerve that transmits visual information from the retina to the brain.
- Starts from the optic disc and extends up to optic chiasma, where the two nerves meet.
- It is the backward continuation of the nerve fibre layer of the retina, which consists of the second order neurons i.e. axon originating from the ganglion cells.
- Also contains the afferent fibres of the pupillary light reflex.
- The fibres of optic nerve, numbering about a million.
- The optic nerve is about 47-50mm in length may be divided in the four parts :
1. Intraocular part (1 mm):
- Begins at optic disc (optic nerve head) and exits the nerve through a hole in sclera that is occupied by a mesh like structure called the lamina cribrosa.
- The nerve fibres from the retina leave the eye through pores (holes) in lamina cribrosa, a sieve – like structure made up of collagen meshwork.
2. Intraorbital part (30 mm):
- Extends from back of the eyeball (at lamina cribrosa) to the optic foramina.
3. Intracanalicular part (6-9 mm):
- It lies within the optic canal and closely related to ophthalmic artery which crosses obliquely over it.
4. Intracranial part (10 mm):
- It lies above the cavernous sinus and converges with its fellow from contralateral side to form optic chiasma.
OPTIC CHIASMA
- Both sides optic nerves converge with each other to form optic chiasma.
- Posteriorly, chiasma is continuous with the optic tract.
- Nerve fibres arising from the nasal halves of two retinae
- Decussate at chiasma & go to the contralateral visual cortex through optic tracts.
- While nerve fibres from temporal halves of the retinae & go to the same side of visual cortex.
OPTIC TRACTS
- Cylindrical bundle of nerve fibres
- Running outwards & backwards from posterolateral aspect of optic chiasma.
- Each optic tract consists of fibres from the temporal half of the retina of the same eye & nasal half of the contralateral eye.
LATERAL GENICULATE BODY
- Optic tracts terminate in the lateral geniculate body.
- Fibres of second order neurons coming via optic tracts relay in neurons of lateral geniculate body.
- Third order neuron originate from lateral geniculate body & extend into optic radiation.
OPTIC RADIATIONS
- The optic radiations (geniculocalcarine pathway).
- Extends from the lateral geniculate body to the visual cortex.
- Inferor fibres of optic radiations subserve upper visual fields
- Superior fibres subserve inferior visual fields.
VISUAL CORTEX
- Located on the medial aspect of occipital lobe
|
In visual pathway |
|
| Sensory organs | Photoreceptors (Rods & cones) |
| Neurons of first order | Axon of bipolar cells (in Retina) |
| Neurons of second order | Axons of ganglionic cell (Retina i.e optic disc,
Optic nerve, optic chiasma, optic tracts) |
| Neurons of third order | Axons from nerve cells in lateral geniculate body (optic radiation) |
Exam Important
Parts of optic nerve
- Intraocular part: 1 mm
- Intraorbital part: 25 – 30 mm
- Intracanalicular part: 5 – 9 mm
- Intracranial part: 10 – 16 mm
Lesions of visual pathway

|
No |
Site of lesion |
Causes |
Features |
|
1 |
– |
– |
Normal |
|
2 |
Optic nerve |
Optic neuritis Optic atrophy Sarcoidosis LHON Traumatic avulsion |
Complete blindness in affected eye Loss of light reflex on the affected side and consensual reflex loss on the other side Near reflex present Central/paracentral scotoma |
|
3 |
Central chiasma |
Pituitary tumors (MCC) Suprasellar aneurysm, Craniopharyngioma, Glioma of Ill ventricle |
Bitemporal hemianopia Bitemporal hemianopic paralysis of pupillary reflexes |
|
3a |
Lateral chiasma |
Distension of 3rd ventricle, Atheroma of post. communicating A |
Binasal hemianopia Binasal hemianopic paralysis of pupillary reflexes |
|
4 |
Optic tract Geniculate body |
Syphilitic meningitis, gumma, tuberculosis, tumors of optic thalamus |
Incongruous (contralateral) homonymous hemianopia Contralateral Wernicke’s pupil (optic tract) |
|
5 |
Optic radiations in temporal lobe (inferior fibres) |
|
Superior quadrantic hemianopia (pie in the sky) Normal pupillary reactions |
|
5a |
Optic radiations in parietal lobe (Superior fibres) |
|
Inferior quadrantic hemianopia (pie on the floor) Normal pupillary reactions |
|
6 |
Optic radiations |
|
Homonymous hemianopia |
|
7 |
Anterior occipital (visual) cortex |
Occlusion of posterior cerebral artery |
Congruous homonymous hemianopia sparing macula |
|
8 |
Tip of occipital cortex |
|
Congruous homonymous macular defect |
- Optic atrophy (partial, descending) – occurs in lesions of chiasma, optic tract and geniculate body
- Optic atrophy does not occur in lesions of optic radiations and visual cortex



