When the patient says no. Management of exotropia with hemianopic visual field defects.
BACKGROUND
A homonymous hemianopia can be compensated for by an exotropia in the direction of the visual field defect.
Two young males with visual field defects and exotropia are reported. Both refused surgery when they were advised of the risk of reduction of their binocular visual field with the alignment of their eyes.


CONCLUSIONS
Mapping of the binocular visual field is mandatory in patients with exotropia and neurological involvement to search for this rare combination which could produce a disappointing surgical outcome.
Gamio
Susana
S
Department of Ophthalmology, Ricardo Gutierrez Children's Hospital, 1744 17-C Capital Federal, Buenos Aires 1426, Argentina.
Melek
Nélida
N
D000328:Adult; D000792:Angiography; D002533:Cerebral Angiography; D005099:Exotropia / Q000150:complications* / Q000628:therapy*; D006423:Hemianopsia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D016312:Treatment Refusal; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology*; D014794:Visual Fields