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Hemidecussation of fibers entering the optic chiasm from the optic nerves is well recognized. The reason why bitemporal hemianopia results from chiasmal compression has not been fully explained. There is still a paucity of data relating to the precise details of the routes that the nerve fibers take through the chiasm and, in particular, where and how nerve fibers cross each other. This information is important to understanding why crossing fibers are selectively damaged as a result of chiasmal compression.

Visualization of Nerve Fiber Orientations in the Human Optic Chiasm Using Photomicrographic Image Analysis