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A 43-year-old man noted decreased vision after head trauma, with normal neuroimaging acutely. He had a left homonymous hemianopia, confirmed with hemifield visual evoked potentials, from trauma to the right optic tract. Four months after trauma, a magnetic resonance imaging of the brain showed atrophy of the right optic tract, and funduscopy revealed optic disk pallor with decreased retinal nerve fiber layer measures consistent with an optic tract syndrome.