Visual processing of natural scenes images was investigated in healthy individuals and patients with homonymous hemianopia (after a unilateral occipital damage) using three methods : 1) behavioral studies where stimuli were presented in the central and lateralized visual fields; 2) fMRI paradigm to assess the cerebral network underlying natural scenes processing in the central visual field and to assess consequences of right or left occipital lesion on brain reorganization ; 3) a neuropsychological study where the efficiency of visual training in the blind visual field of hemianopics patients, using blindsight, was investigated. Results showed that occipital lesion side selectively modulates visual performances and pattern of cortical activation. In patients with right occipital damage, performances were severely altered although both hemlispheres were recruited. Yet, in patients with left brain damage, performances were less degraded and the right hemisphere was recruited whatever the visual task. Finally, we observed that explicit (conscious) visual detection can be restored (at least partly) in the blind visual field by using implicit (unconscious) visual capacities.
