Abstract
Lesions posterior to the optic chiasm produce homonymous visual field loss—overlapping scotomas in the nasal field of one eye and the temporal field of the other eye. Patients retain normal acuity, but find their lives changed forever. A homonymous hemianopia, when complete, makes safe driving impossible and reading a chore. Although some patients experience partial, spontaneous improvement following the acute phase of an event, most remain handicapped by permanent field loss. No treatment was available before the recent advent of visual restoration therapy.