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Abstract #54650 Published in IGR 15-3

Charles Bonnet syndrome precipitated by brimonidine

Garcí,a-Catalá,n MR; Arriola-Villalobos P; Santos-Bueso E; Gil-de-Bernabé; J; Dí,az-Valle D; Bení,tez-del-Castillo JM; Garcí,a-Sá,nchez J
Archivos de la Sociedad Española de Oftalmologia 2013; 88: 362-364

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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.

Unidad de Neurooftalmología, Hospital Clínico San Carlos, Madrid, España. rociogarciacatalan@gmail.com

Full article

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Classification:

11.3.3 Apraclonidine, brimonidine (Part of: 11 Medical treatment > 11.3 Adrenergic drugs)
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)

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