[溴莫尼定诱发的查尔斯·博内综合征]
[Charles Bonnet syndrome precipitated by brimonidine].
作者信息
García-Catalán M R, Arriola-Villalobos P, Santos-Bueso E, Gil-de-Bernabé J, Díaz-Valle D, Benítez-del-Castillo J M, García-Sánchez J
机构信息
Unidad de Neurooftalmología, Hospital Clínico San Carlos, Madrid, España.
出版信息
Arch Soc Esp Oftalmol. 2013 Sep;88(9):362-4. doi: 10.1016/j.oftal.2012.05.007. Epub 2012 Jul 19.
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.
病例报告
一名81岁患有年龄相关性黄斑变性和假性剥脱性青光眼的女性，在开始使用溴莫尼定滴眼液后不久出现视幻觉（人脸、花朵和框架）。神经和精神检查正常。停药后10天内视幻觉消失。
讨论
查尔斯·邦尼特综合征（CBS）的特征是老年患者在有明显视力损害的情况下出现复杂视幻觉，且无任何精神症状。眼科医生了解CBS至关重要。临床医生应治疗视力损害，并意识到使用溴莫尼定治疗的患者可能出现视幻觉。
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