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Case report
Binasal hemianopia in two sisters
  1. Sam Scotcher1,
  2. George Morphis2 and
  3. Peter Good3
  1. 1 West of England Eye Unit, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  2. 2 Victoria Eye Unit, Wye Valley NHS Trust, Hereford, Herefordshire, UK
  3. 3 Department of Visual Function, Birmingham and Midland Eye Centre, Birmingham, UK
  1. Correspondence to Dr Sam Scotcher; samscotcher{at}


Binasal hemianopia is a rare visual field defect. A teenage girl presented with blurred vision and persistent headaches following a minor head injury. The ocular examination was normal except for a binasal hemianopia, and subsequent neuroimaging was also unremarkable. Her older sister was found to have the same visual field defect, also with normal neuroimaging. This represents the first reported case of binasal hemianopia found in siblings. Given that no neurological or ocular cause was identified in either sister, this supports the theory of an unknown congenital aetiology.

  • ophthalmology
  • visual pathway
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  • Contributors SS: planned, researched and wrote the article; GM: edited the manuscript; PG: provided neurophysiology data and advice.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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