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Case Reports
. 2013 Sep;88(9):362-4.
doi: 10.1016/j.oftal.2012.05.007. Epub 2012 Jul 19.

[Charles Bonnet syndrome precipitated by brimonidine]

[Article in Spanish]
M R García-Catalán  1 , P Arriola-Villalobos, E Santos-Bueso, J Gil-de-Bernabé, D Díaz-Valle, J M Benítez-del-Castillo, J García-Sánchez
Affiliations
Case Reports

[Charles Bonnet syndrome precipitated by brimonidine]

[Article in Spanish]
M R García-Catalán et al. Arch Soc Esp Oftalmol. 2013 Sep.

Abstract

Case report: An 81-year-old woman with age-related macular degeneration and pseudoexfoliative glaucoma developed visual hallucinations (faces, flowers and frames) shortly after beginning brimonidine drops. Neurologic and psychiatric examination was normal. Visual hallucinations disappeared within 10 days after discontinuing the drug.

Discussion: The Charles Bonnet syndrome (CBS) is characterised by complex visual hallucinations in elderly patients in the setting of significant visual impairment without any psychiatric symptoms. Awareness of CBS among ophthalmologist is essential. Clinicians should treat visual impairment and be aware of possible visual hallucinations in patients treated with brimonidine.

Keywords: Advanced age; Agudeza visual; Alucinaciones visuales; Brimonidina; Brimonidine; Charles Bonnet syndrome; Edad avanzada; Síndrome de Charles Bonnet; Visual acuity; Visual hallucinations.

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