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The Charles Bonnet Syndrome: A Large Prospective Study in the Netherlands

A Study of the Prevalence of the Charles Bonnet Syndrome and Associated Factors in 500 Patients Attending the University Department of Ophthalmology at Nijmegen

Published online by Cambridge University Press:  02 January 2018

Robert J. Teunisse ,
Johan R. M. Cruysberg ,
André Verbeek  and
Frans G. Zitman
Robert J. Teunisse*
Affiliation:
Department of Psychiatry, University Hospital Nijmegen
Johan R. M. Cruysberg
Affiliation:
Department of Ophthalmology, University Hospital Nijmegen
André Verbeek
Affiliation:
Department of Epidemiology, University Hospital Nijmegen
Frans G. Zitman
Affiliation:
Department of Psychiatry, University Hospital Nijmegen, Nijmegen, The Netherlands
*
Dr Teunisse, Department of Psychiatry, University Hospital Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands
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Abstract

Background

The aims were to determine the prevalence of the Charles Bonnet syndrome (CBS) in low-vision patients and analyse possible associated ophthalmic and sociodemographic factors.

Method

A semi-structured interview on visual hallucinations was given to 300 adult low-vision patients and 200 elderly general ophthalmic patients. Positive cases were examined with the Geriatric Mental State Schedule and the Mini Mental State Examination. Diagnostic criteria were as follows: complex, persistent, or repetitive visual hallucinations; full or partial retention of insight; no hallucinations in other modalities; and no delusions. Ophthalmic and sociodemographic data were gathered for all patients.

Results

The prevalence of CBS in low-vision patients was 11%. CBS was significantly associated with an age over 64 years and a visual acuity in the best eye of 0.3 or less. No significant associations with ophthalmic diagnoses, patient sex, marital status, or social circumstances were found.

Conclusion

Our findings support association of CBS with sensory deprivation and advanced age.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 2 , February 1995 , pp. 254 - 257
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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Footnotes

1

1. Visual acuity was measured in each eye separately by the Snellen chart, on which rows of letters of different standard sizes are printed. The patients are asked to read the letters from a fixed standard distance. Visual acuity is expressed as the ratio of the distance at which the patient is still able to distinguish the letters to the distance at which a person with normal vision is capable of doing so. Example 1: a patient is able to read letters from a distance of 5 m which normally could be read from this distance; visual acuity is expressed as 5/5 or 1 (normal). Example 2: a patient is only able to distinguish letters from a distance of 5 m which normally could be read from a distance of 25 m; visual acuity is expressed as 5/25 or 0.2.

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Berrios, G. E. & Brook, P. (1984) Visual hallucinations and sensory delusions in the elderly. British Journal of Psychiatry, 144, 662–664.CrossRefGoogle ScholarPubMed
Copeland, J. R. M., Kellener, M. J. Kellett, J. M., et al (1976) A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: The Geriatric Mental State Schedule. Psychological Medicine, 6, 439–449.CrossRefGoogle Scholar
Damas-Mora, J., Skelton-Robinson, M. & Jenner, F. A. (1982) The Charles Bonnet syndrome in perspective. Psychological Medicine, 12, 251–261.CrossRefGoogle Scholar
De Morsier, G. (1967) Le syndrome de Charles Bonnet: hallucinations visuelles des vieillards sans déficience mentale. Annales Medico-Psychologiques, 125, 677–702.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Residents, 12, 189–198.CrossRefGoogle Scholar
Gold, K. & Rabins, P. V. (1989) Isolated visual hallucinations and the Charles Bonnet syndrome: a review of the literature and presentation of six cases. Comprehensive Psychiatry, 30, 90–98.CrossRefGoogle ScholarPubMed
Holroyd, S., Rabins, P. V., Finkelstein, D., et al (1992) Visual hallucinations in patients with macular degeneration. American Journal of Psychiatry, 149, 1701–1706.Google ScholarPubMed
Olbrich, H. M., Engelmeier, M. P., Pauleikhoff, D., et al (1987) Visual hallucinations in ophthalmology. Graefes Archive for Clinical and Experimental Ophthalmology, 225, 217–220.CrossRefGoogle ScholarPubMed
Podoll, K., Osterheider, M. & Noth, J. (1989) Das Charles Bonnet-Syndrom. Fortschritte Der Neurologie-Psychiatrie, 57, 43–60.CrossRefGoogle Scholar
Schultz, G. & Melzack, R. (1991) The Charles Bonnet syndrome: ‘phantom visual images’. Perception, 20, 809–825.CrossRefGoogle ScholarPubMed
Teunisse, R. J., Raes, B. C. M. & Zitman, F. G. (1994) Clinical evaluation of 14 patients with the Charles Bonnet syndrome (isolated visual hallucinations). Comprehensive Psychiatry, 35, 70–75.CrossRefGoogle ScholarPubMed
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