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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

doi: 10.1097/WNO.0000000000000477
Clinical Correspondence

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.

Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas.

Address correspondence to Ronald Mancini, MD, FACS, Department of Ophthalmology, 5323 Harry Hines Boulevard, Dallas, TX 75390; E-mail: Ronald.Mancini@utsouthwestern.edu

The authors report no conflicts of interest.

© 2018 by North American Neuro-Ophthalmology Society