Abstract
Central nervous system tumors cause about 11% of all cases of homonymous hemianopia.1 Detection of visual field defects is important as it can aid in localization of cerebral lesions, especially in metastatic disease. These visual field defects are often unrecognized by the patient and may go undiagnosed without the proper screening. Here we present a case of left homonymous hemianopia caused by metastatic melanoma to the occipital lobe. Incorporating neuro-ophthalmological exams into current guidelines for surveillance of cutaneous melanoma may aid in the early detection of recurrent disease.
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