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Arch Ophthalmol. 1992 Sep;110(9):1251-6.

Visual symptoms associated with choroidal neovascularization. Photopsias and the Charles Bonnet syndrome.

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Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa.


One hundred consecutive patients with macular choroidal neovascularization were studied in a cross-sectional fashion. Evidence of bilateral choroidal neovascularization was present in 31 patients. Among the 100 subjects, 59% related a history of seeing flickering or flashing lights (photopsias) in the affected eye or eyes. The colors varied, but in 59% of instances the 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 tractional phenomena as well as neurologic and/or psychiatric disease are also frequently encountered in patients with macular degeneration associated with choroidal neovascularization.

[Indexed for MEDLINE]

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