Charles Bonnet syndrome, glaucoma and moderate visual acuity

Naranjo-Bonilla, Pedro; Giménez-Gómez, R.; Gallardo-Galera, J.M.

doi:10.1016/j.oftale.2014.08.015

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“…Los casos de SCB con buena visión [11][12][13][14] y glaucoma posiblemente se relacionen con la desaferentación de las fibras lesionadas, aunque se conserve la visión central. Se han asociado también a tratamientos oculares, como terapia fotodinámica [21] o inyecciones de antiangiogénicos [22], fotocoagulación retiniana con láser [23], neurocirugía [24,25], patología sistémica [26,27], y tratamientos con fármacos tópicos, como la brimonidina [28,29], y sistémicos [30].…”

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Síndrome de Charles Bonnet. Serie de 45 casos

et al. 2015

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Introducción. El síndrome de Charles Bonnet (SCB) es un cuadro clínico que se caracteriza por la presencia de alucinaciones visuales, principalmente complejas, en pacientes con estado cognitivo conservado e importante deterioro de la visión. El incremento del SCB se debe al aumento de la esperanza de vida y al desarrollo de patologías asociadas al envejecimiento, como la degeneración macular asociada a la edad. Aceptado tras revisión externa: 24.02.15. Cómo citar este artículo: Santos-Bueso E, Serrador-García M, Porta-Etessam J, Rodríguez-Gómez O, Martínez-de-la-Casa JM, García-Feijoo J, García-Sánchez J. Síndrome de Charles Bonnet. Serie de 45 casos. Rev Neurol 2015; 60: 337-40. © 2015 Revista de Neurología Charles Bonnet syndrome. A 45-case seriesIntroduction. Charles Bonnet Syndrome (CBS) is a condition characterised by the presence of visual hallucinations, mainly complex, in patients with significant vision loss and without cognitive impairment. The rise in CBS cases is due to an increased life expectancy and to the development of age-related pathologies such as age-related macular degeneration.Patients and methods. We herein analyse the main characteristics present in 45 patients diagnosed with CBS at the Neuroophthalmology Unit in Hospital Clínico San Carlos. The patients were referred from the macular pathology, glaucoma and ocular surface units, as well as from A&E, where they were diagnosed with CBS and later confirmed at the Multidisciplinary Unit formed by the ophthalmology, neurology and psychiatry services of the hospital.Results. Women (66.66%) over 80 constituted 68.88% of the patients and mainly had age-related macular degeneration (37.77%). The most prevalent hallucinations described by the patients were of people and faces (35.55%), in colour (66.66%), in movement (80%), had developed over a period of 6 to 12 months (26.66%), had a frequency of three episodes per day (35.55%) and lasted between 3 to 5 minutes (35.55%). Conclusions.CBS is a complex disorder that requires a multidisciplinary approach from neurologists, psychiatrists, general practitioners and ophthalmologists. New studies are needed in order to understand its clinical presentation and behaviour, and thus improve its management.

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“…Además un 8,88% presentaba hipoacusia (Tabla I). Sin embargo, también el SCB puede presentarse en pacientes con buena agudeza visual [11][12][13][14], e incluso en niños [15,16].…”

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Síndrome de Charles Bonnet. Serie de 45 casos

et al. 2015

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Charles Bonnet syndrome, glaucoma and moderate visual acuity

Cited by 1 publication

References 5 publications

Síndrome de Charles Bonnet. Serie de 45 casos

Síndrome de Charles Bonnet. Serie de 45 casos

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