Prevalence and clinical characteristics of Charles Bonnet syndrome in patients with glaucoma.

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Ahan Banker, Divya Patel, Mahir Patel, Henil Patel, Urva Gupta, Purvi Bhagat, Jignesh Gosai
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Abstract

Aims and background: Charles Bonnet Syndrome (CBS) is characterized by visual hallucinations in individuals with acquired vision loss. Despite its potential impact on the patient's quality of life, CBS remains underdiagnosed and is often misinterpreted as a psychiatric illness. This study aims to investigate the prevalence and clinical characteristics of CBS in patients with glaucoma, also highlighting its correlation with visual acuity and severity of glaucoma.

Methods: A cross-sectional study was conducted on 200 patients diagnosed with glaucoma at a tertiary care center of western India. Patients were evaluated for CBS using a pre-designed questionnaire capturing demographic data, glaucoma profiles, and details about hallucinations. Statistical analysis was performed to ascertain the prevalence of CBS and its associations.

Results: CBS was identified in 23 patients, resulting in a prevalence of 11.5%. Most affected individuals were aged 50-59 years, with a male-to-female ratio of 11:12. Most patients experienced simple visual phenomena, such as lines and light flickers. CBS was more prevalent in primary open-angle glaucoma (69.57%) compared to primary angle-closure glaucoma (30.43%). A significant proportion of patients reported that their hallucinations affected their emotional well-being and quality of life.

Conclusion: This study underscores the prevalence of CBS in glaucoma patients, even among those with relatively good visual acuity. Recognizing CBS is crucial for appropriate management and support, as it significantly impacts the psychosocial health of patients. Increased awareness and education for both patients and clinicians are essential to ensure improved patient outcomes in overall glaucoma care.

Clinical significance: Despite its potential impact on the patient's quality of life, CBS remains underdiagnosed and is often misinterpreted as a psychiatric illness. It can occur even among those with relatively good visual acuity and can significantly affect the emotional well-being and quality of life of patients. Timely detection and patient counselling may help to minimize the negative consequences of this condition.

青光眼患者Charles Bonnet综合征的患病率及临床特点。
目的和背景:查尔斯邦纳综合征(CBS)以获得性视力丧失个体的视觉幻觉为特征。尽管它对患者的生活质量有潜在的影响,但CBS仍未得到充分的诊断,并且经常被误解为精神疾病。本研究旨在探讨CBS在青光眼患者中的患病率和临床特点,并强调其与视力和青光眼严重程度的相关性。方法:对印度西部一家三级保健中心诊断为青光眼的200例患者进行横断面研究。使用预先设计的问卷,收集人口统计数据、青光眼概况和幻觉细节,对患者进行CBS评估。进行统计分析以确定CBS的患病率及其相关性。结果:23例患者发现CBS,患病率为11.5%。发病人群以50 ~ 59岁为主,男女比例为11:12。大多数患者经历了简单的视觉现象,如线条和闪烁。与原发性闭角型青光眼(30.43%)相比,CBS在原发性开角型青光眼(69.57%)中更为常见。很大一部分患者报告说,他们的幻觉影响了他们的情绪健康和生活质量。结论:本研究强调了CBS在青光眼患者中的患病率,即使在视力相对较好的患者中也是如此。认识到CBS对适当的管理和支持至关重要,因为它对患者的心理社会健康有重大影响。提高对患者和临床医生的认识和教育对于确保改善患者整体青光眼护理的结果至关重要。临床意义:尽管它对患者的生活质量有潜在的影响,但CBS仍未得到充分的诊断,并且经常被误解为精神疾病。它甚至可以发生在那些视力相对较好的人身上,并且可以显著影响患者的情绪健康和生活质量。及时发现和患者咨询可能有助于减少这种情况的负面后果。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
451
期刊介绍: International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.
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