Visual hallucinations: meaning and management

Visual hallucinations of low vision patients may serve as indicators of trauma, illness and psychological disturbance or concerns. Routine inquiry about them is suggested and two case illustrations of this procedure are presented. Primary consideration is management of patient anxiety and fear, as well as indications for referral to allied professions. The incidence of hallucinations is very likely under-reported, though detailed exploration of the parameters of hallucinations in the visually impaired population can enhance existing knowledge and often alleviate fears of mental illness.