The Vulnerable Visual Field

Progressive loss of vision OD; Headache; Periocular painA 24-year old female with loss of vision OD associated with ipsilateral headache and pain on eye movement.VA: NLP OD, 20/20 OS; RAPD OD; Temporal VF defect OSMRIIntracranial germ cell tumorSteroids; Antineoplastic agents; XRT1. Bowman CB, Farris BK. Primary chiasmal germinoma. J Clin Neuro-ophthalmol 10:9-17, 1990. 2. Echevarria ME, Fangusaro J, Goldman S. Pediatric central nervous system germ cell tumors: a review. The Oncologist 13:690-699, 2008. 3. Iizuka H, Nojima T, Kadoya S. Germinoma of the optic nerve: case report. Brain Tumor Pathol 1 3:95-98, 1996. 4. Krolak-Almon P, Androdia G, Honnorat J, et al. Beware of optic neuritis. The Lancet: Neurology. 1:516­51 7, 2002. 5. Nadkarni TD, Fattepurkar SC, Desai KI, et al. Intracranial optic nerve germinoma. J Clin Neurosc 1 1: 559-61, 200