Optic chiasm

The optic chiasm or chiasma is the midline structure where the nasal (medial) fibers of the optic nerves decussate to continue posteriorly as the optic tracts. It lies in the chiasmatic cistern and along with the pituitary stalk, is completely encircled by the circle of Willis.

The circle of Willis encircles the pituitary stalk and optic chiasma.

Small branches of the anterior cerebral artery and the superior hypophyseal artery supply the chiasm and intracranial portion of the optic nerves whereas the optic tracts are supplied by small branches of the anterior choroidal and posterior communicating arteries.

Lesions compressing the chiasm classically produce the visual field defect of bitemporal hemianopia, where there is loss of the temporal fields.

Anatomy: Brain
Share article

Article information

rID: 52110
Section: Anatomy
Synonyms or Alternate Spellings:
  • optic chiasma
  • chiasm

Support Radiopaedia and see fewer ads

Cases and figures

  • Figure 1: optic nerve and chiasma anatomy
    Drag here to reorder.
  • Figure 2: midsagittal section
    Drag here to reorder.
  • Figure 3: optic chiasm
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.