Clinical Case DiscussionsCharles Bonnet Syndrome Associated With Recurrent Hypertensive CrisisBalsara, Charmi MD; Shahin, Alexander MD; Baviriseaty, Niharika MD; Czuma, Richard MD; Sullivan, Gregory A. MD, FAPA Author Information BALSARA, SHAHIN, BAVIRISEATY, and CZUMA: University of South Florida College of Medicine, Tampa, FL SULLIVAN: Psychiatry Consultation-Liaison Service, James A Haley VA Hospital, University of South Florida College of Medicine, Tampa, FL The authors declare no conflicts of interest. Please send correspondence to: Gregory A. Sullivan, MD, Mental Health and Behavioral Sciences Service (116A), James A Haley VA Hospital, 13000 Bruce B Downs Blvd, Tampa FL 33612 (e-mail: [email protected]). Journal of Psychiatric Practice: November 2022 - Volume 28 - Issue 6 - p 509-513 doi: 10.1097/PRA.0000000000000662 Buy Metrics Abstract Charles Bonnet syndrome (CBS) is a disorder of visual hallucinations in psychologically normal patients with ocular disease or damage to visual pathways. The etiology of CBS is not fully understood. It is associated with various triggers, with age-related macular degeneration the most common; other triggers are systemic diseases such as stroke, multiple sclerosis, and anemia as well as lighting issues, fatigue, and medical or surgical eye treatments. Visual disturbances such as decreased visual acuity, visual field deficits, or visual hallucinations are common in association with hypertensive encephalopathy. We describe a patient with episodic CBS triggered by recurrent hypertensive crises, which resolved with blood pressure management in the hospital setting. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.