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.

CASE REPORTS (AND LITERATURE REVIEW): 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.

CONCLUSION

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.