ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
Visual Hallucinations in an Old Patient after Cataract Surgery and Treatment
1 Department of Psychiatry, Atatürk University School of Medicine, Erzurum, Turkey  
2 Department of Ophthalmology, Atatürk University School of Medicine, Erzurum, Turkey  
Eurasian J Med 2016; 48: 62-64
DOI: 10.5152/eurasianjmed.2015.14115
Key Words: Charles Bonnet, cataract, visual hallucination, treatment
Abstract

Sensory visual pathologies, accompanying simple or complex visual hallucinations that occur in visually-impaired individuals due to ophthalmologic or brain pathologies related to visual pathways in patients without mental disorders, are defined as Charles Bonnet syndrome. Between 10% and 60% of the patients having age-related eye diseases involving retina, cornea and the lens, commonly with macular degeneration experience complex visual hallucinations depending on the severity of visual problems. The neurophysiology of the visual hallucinations in Charles Bonnet Syndrome is not clearly known, and they may differ in content and severity over time. In differential diagnoses of Charles Bonnet Syndrome, many aetiologies (drugs, uraemia, exposure to toxic materials, neurodegenerative and psychiatric conditions) need to be ruled out. In the treatment of Charles Bonnet syndrome, first the management of the reason of visual loss should be clarified if possible. If needed, neuroleptics, anticonvulsants, antidepressants, benzodiazepines, cognitive enhancer agents such as cholinesterase inhibitors can be used also. In this case, an 83-year-old female patient experiencing visual hallucinations as burning candles in both eyes’ visual field after left eye cataract surgery, treated with 0.5 milligram/day risperidone will be presented. 

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