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Reversible Charles Bonnet Syndrome After Oculoplastic Procedures.

Beaulieu, Robert A. MD; Tamboli, Diana A. MD; Armstrong, Blair K. MD; Hogan, R. Nick MD, PhD; Mancini, Ronald MD, FACS
Journal of Neuro-Ophthalmology: Post Author Corrections: December 14, 2016
doi: 10.1097/WNO.0000000000000477
Clinical Observation: PDF Only

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.

(C) 2017 by North American Neuro-Ophthalmology Society