Each retina's nasal fibers (which sample the temporal visual field) cross at the optic chiasm; temporal retinal fibers (sampling the nasal field) stay uncrossed. So past the chiasm, the left optic tract carries the left temporal retina + right nasal retina — i.e. everything representing the right half of visual space:
Optic nerve → monocular loss (one eye only)
Chiasm → bitemporal hemianopia (crossing fibers cut)
Optic tract → contralateral homonymous hemianopia (incongruous)
Meyer's loop → contralateral superior quadrantanopia ("pie in the sky")
Parietal path → contralateral inferior quadrantanopia ("pie on the floor")
Occipital pole → congruous homonymous hemianopia, often macula-sparing
Congruity — how closely the defect in each eye matches in shape and size — rises the farther back the lesion sits: optic-tract defects are classically incongruous because the two eyes' fibers haven't fully re-sorted yet, while occipital lesions are highly congruous. Macular sparing at the occipital pole happens because the macula's cortical representation gets a dual blood supply (middle + posterior cerebral artery), so a posterior-circulation stroke can spare it even while destroying the rest of that hemifield.
Completeness scales how much of the affected pathway is damaged — a small compressive lesion knocks out a fraction of axons (a partial, lighter defect); a complete transection or infarct removes the whole hemifield/quadrant.
- Pick a lesion site — the matching segment glows red in the 3D pathway.
- The two circles below the 3D view are Goldmann-style field charts: left circle = left eye (OS), right circle = right eye (OD), each eye's temporal field on its outer edge and nasal field on the inner edge facing the other eye.
- Grey = lost field, at an opacity set by the completeness slider.