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The prevalence and clinical characteristics of Charles Bonnet Syndrome in Danish patients with neovascular age-related macular degeneration

Singh, Amardeep LU and Sørensen, Torben L (2012) In Acta Ophthalmologica 90(5). p.80-476
Abstract

PURPOSE: To investigate the prevalence and clinical characteristics of the Charles Bonnet Syndrome (CBS) in a group of Danish patients with neovascular age-related macular degeneration (AMD) and to study whether CBS is associated with a specific retinal morphology.

METHODS: Three-hundred consecutive patients with neovascular AMD attending assessment consultations following variable series of ranibizumab therapy were actively asked whether they had symptoms of CBS. If they responded positively, a detailed questionnaire was orally administered to inquire into the details of the symptoms. Detailed optical coherence tomography and autofluorescence was performed. A comparison was made between retinal morphology of a randomly selected... (More)

PURPOSE: To investigate the prevalence and clinical characteristics of the Charles Bonnet Syndrome (CBS) in a group of Danish patients with neovascular age-related macular degeneration (AMD) and to study whether CBS is associated with a specific retinal morphology.

METHODS: Three-hundred consecutive patients with neovascular AMD attending assessment consultations following variable series of ranibizumab therapy were actively asked whether they had symptoms of CBS. If they responded positively, a detailed questionnaire was orally administered to inquire into the details of the symptoms. Detailed optical coherence tomography and autofluorescence was performed. A comparison was made between retinal morphology of a randomly selected equal number of patients without CBS to patients with CBS.

RESULTS: Twenty-five (8.3%) patients of 300 had hallucinations attributable to CBS. The median lesion size - measured as total area with increased autofluorescence - in the CBS group (median 14.2 mm(2)) was not significantly different from the non-CBS group (median 16.2 mm(2)); however, the patients with CBS had significantly larger areas of geographic atrophy (median 2 mm(2)) compared to patients without CBS (median 0.3 mm(2)) (p = 0.002).

CONCLUSION: CBS is not uncommon in an unselected population with neovascular AMD, and symptoms of CBS may be associated with larger areas of geographic atrophy.

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author
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Contribution to journal
publication status
published
subject
keywords
Aged, Aged, 80 and over, Denmark/epidemiology, Female, Geographic Atrophy/complications, Hallucinations/diagnosis, Humans, Male, Prevalence, Surveys and Questionnaires, Syndrome, Tomography, Optical Coherence, Vision, Low/diagnosis, Visual Acuity/physiology, Wet Macular Degeneration/complications
in
Acta Ophthalmologica
volume
90
issue
5
pages
5 pages
publisher
Wiley-Blackwell
external identifiers
  • pmid:21106047
  • scopus:84864402205
ISSN
1755-3768
DOI
10.1111/j.1755-3768.2010.02051.x
language
English
LU publication?
no
additional info
© 2010 The Authors. Acta Ophthalmologica © 2010 Acta Ophthalmologica Scandinavica Foundation.
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17ef12b0-bb95-4bcc-a6b3-a105307db189
date added to LUP
2019-05-21 10:40:10
date last changed
2024-06-11 12:23:44
@article{17ef12b0-bb95-4bcc-a6b3-a105307db189,
  abstract     = {{<p>PURPOSE: To investigate the prevalence and clinical characteristics of the Charles Bonnet Syndrome (CBS) in a group of Danish patients with neovascular age-related macular degeneration (AMD) and to study whether CBS is associated with a specific retinal morphology.</p><p>METHODS: Three-hundred consecutive patients with neovascular AMD attending assessment consultations following variable series of ranibizumab therapy were actively asked whether they had symptoms of CBS. If they responded positively, a detailed questionnaire was orally administered to inquire into the details of the symptoms. Detailed optical coherence tomography and autofluorescence was performed. A comparison was made between retinal morphology of a randomly selected equal number of patients without CBS to patients with CBS.</p><p>RESULTS: Twenty-five (8.3%) patients of 300 had hallucinations attributable to CBS. The median lesion size - measured as total area with increased autofluorescence - in the CBS group (median 14.2 mm(2)) was not significantly different from the non-CBS group (median 16.2 mm(2)); however, the patients with CBS had significantly larger areas of geographic atrophy (median 2 mm(2)) compared to patients without CBS (median 0.3 mm(2)) (p = 0.002).</p><p>CONCLUSION: CBS is not uncommon in an unselected population with neovascular AMD, and symptoms of CBS may be associated with larger areas of geographic atrophy.</p>}},
  author       = {{Singh, Amardeep and Sørensen, Torben L}},
  issn         = {{1755-3768}},
  keywords     = {{Aged; Aged, 80 and over; Denmark/epidemiology; Female; Geographic Atrophy/complications; Hallucinations/diagnosis; Humans; Male; Prevalence; Surveys and Questionnaires; Syndrome; Tomography, Optical Coherence; Vision, Low/diagnosis; Visual Acuity/physiology; Wet Macular Degeneration/complications}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{80--476}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Ophthalmologica}},
  title        = {{The prevalence and clinical characteristics of Charles Bonnet Syndrome in Danish patients with neovascular age-related macular degeneration}},
  url          = {{http://dx.doi.org/10.1111/j.1755-3768.2010.02051.x}},
  doi          = {{10.1111/j.1755-3768.2010.02051.x}},
  volume       = {{90}},
  year         = {{2012}},
}