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Chloropsia in the Charles Bonnet syndrome
Anshul Bhatnagar1, Rhys Ishihara2, Mohammad Pakravan2
1School of Medicine, Baylor College of Medicine, Houston, TX, USA.
American Journal of Ophthalmology Case Reports
|September 22, 2022
Summary
Green-colored vision (chloropsia) is rare. This case study reveals chloropsia as a presenting symptom of Charles Bonnet syndrome, highlighting a new association for this visual disturbance.
Area of Science:
- Neuro-ophthalmology
- Visual Perception Disorders
Background:
- Chloropsia, or green-colored vision, is an exceptionally rare clinical finding.
- Charles Bonnet syndrome (CBS) is characterized by visual hallucinations in visually impaired individuals.
Observation:
- A 66-year-old male with advanced glaucoma presented with acute, diffuse chloropsia.
- Symptoms included "light green and oval-shaped" visual disturbances.
- Ophthalmic examination revealed poor visual acuity, visual field loss, and altered color perception.
Findings:
- The patient met diagnostic criteria for Charles Bonnet syndrome.
- Chloropsia has not been previously documented as a symptom of CBS.
- Standard laboratory and imaging tests were unremarkable.
Implications:
- This case suggests a novel association between chloropsia and Charles Bonnet syndrome.
- Physicians should consider CBS in patients with unexplained altered color perception.
- Early recognition of CBS is crucial for managing visual disturbances.
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