Clinical Guidelines
Commentary & Perspectives
Toward Better Management of Charles Bonnet Syndrome
Newly published guidance presents a practical guide to managing CBS in busy clinics
Charles Bonnet syndrome (CBS) is a frequently misunderstood condition characterized by visual hallucinations in visually impaired individuals. Under-recognized by both patients and clinicians, CBS occurs without accompanying psychiatric or cognitive disorders. A new clinical comment from researchers at University College London and King’s College London presents guidelines for diagnosing and managing CBS in eye care. Approximately 20% of patients in low vision services may be affected. The guidelines advocate direct questioning about hallucinations and recommend educational interventions to alleviate distress, along with practical strategies for symptom management.
1. CBS involves visual hallucinations without cognitive disorders. 2. Affects up to 20% of low vision patients. 3. Early questioning about symptoms is crucial. 4. Education can significantly reduce patient distress. 5. Behavioral strategies include environmental modifications. 6. Referral for psychological support may be needed for distress. 7. Pragmatic guidelines aim to improve patient management in eye care.