Visual Symptoms Associated With Choroidal Neovascularization: Photopsias and the Charles Bonnet Syndrome

doi:10.1001/archopht.1992.01080210069027

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Vol. 110 No. 9, September 1992

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Visual Symptoms Associated With Choroidal Neovascularization

Photopsias and the Charles Bonnet Syndrome

Gary C. Brown, MD; Robert P. Murphy, MD

Arch Ophthalmol. 1992;110(9):1251-1256.

Abstract

• One hundred consecutive patients with macular choroidalneovascularization were studied in a cross-sectional fashion.Evidence of bilateral choroidal neovascularization was presentin 31 patients. Among the 100 subjects, 59% related a historyof seeing flickering or flashing lights (photopsias) in theaffected eye or eyes. The colors varied, but in 59% of instancesthe lights were white. Twelve subjects experienced formed hallucinations(Charles Bonnet syndrome); in nine (75%) of these patients,the sequelae of choroidal neovascularization were bilateral.Symptoms that are commonly attributed to vitreoretinal tractionalphenomena as well as neurologic and/or psychiatric disease arealso frequently encountered in patients with macular degenerationassociated with choroidal neovascularization.

Author Affiliations

From the Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa (Dr Brown), and the Retina Center, St Joseph's Hospital, Baltimore, Md (Dr Murphy).

Footnotes

Accepted for publication February 5, 1992.

Reprint requests to 910 E Willow Grove Ave, Wyndmoor, PA 19118(Dr Brown).

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