Reversible Charles Bonnet Syndrome After Oculoplastic Procedures

J Neuroophthalmol. 2018 Sep;38(3):334-336. doi: 10.1097/WNO.0000000000000477.

Abstract

Individuals with Charles Bonnet syndrome (CBS) typically have severe visual loss and experience visual hallucinations yet have no psychiatric disease. Visual impairment often is due to end-stage glaucoma or macular degeneration. We report 3 cases of CBS in patients who underwent an oculoplastic surgical procedure. One patient experienced binocular visual distortion due to excessive topical ophthalmic ointment, and 2 patients experienced monocular visual impairment from patching. Visual hallucinations resolved once vision returned to baseline. We highlight the possibility of transient CBS in postoperative patients who have temporary iatrogenic vision impairment in one or both eyes.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Aged
  • Aged, 80 and over
  • Blepharoplasty / adverse effects*
  • Charles Bonnet Syndrome / diagnosis
  • Charles Bonnet Syndrome / etiology*
  • Humans
  • Male
  • Postoperative Complications*
  • Recovery of Function*
  • Vision Disorders / etiology*
  • Vision Disorders / physiopathology
  • Visual Acuity*