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A Trial of Patients With a Charles Bonnet Syndrome

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Vienna Institute for Research in Ocular Surgery

キーワード

概要

Charles Bonnet Syndrome (CBS) is defined by the occurence of visual hallucinations (VH) in the absence of any mental disorder. Elderly patients with reduced visual acuity due to ophthalmic diseases are most affected. Conditions are often associated with the syndrome of age-related macular degeneration, cataract or glaucoma. Existing data on the syndrome's prevalence in Europe reveal diverse results. Aim of this study was to assess the prevalence of CBS in patients with low visual acuity and to evaluate, if an additional therapeutic interview with and treatment by a psychiatrist is beneficial.

説明

Patients with a visual acuity of 0.5 LogMAR or less in the better eye were screened for CBS. Instruments used were an interview asking for details of the hallucinations, a mental test and a scale concerning quality of life. Patients with CBS were randomized by minimization in two groups: in group 1, a patient-doctor interview by an ophthalmologist was performed and in group 2 an interview and if needed, a therapy by a psychiatrist. At the 3-months follow up, the psychological strain of patients was recorded again.

日付

最終確認済み: 05/31/2017
最初に提出された: 02/08/2017
提出された推定登録数: 05/07/2017
最初の投稿: 05/09/2017
最終更新が送信されました: 06/25/2017
最終更新日: 06/26/2017
実際の研究開始日: 10/09/2014
一次完了予定日: 02/16/2016
研究完了予定日: 01/31/2017

状態または病気

Prevalence, Psychiatrist Intervention

介入/治療

Other: interview

段階

-

アームグループ

介入/治療
Experimental: interview with an ophthalmologist
Patients get an interview with an ophthalmologist
Experimental: interview/treatment by a psychiatrist
patients get an interview and a possible treatment by a psychiatrist

適格基準

研究の対象となる年齢 55 Years に 55 Years
研究に適格な性別All
健康なボランティアを受け入れるはい
基準

Inclusion Criteria:

- written informed consent

- visual acuity of 0.5 LogMAR or less at both eyes

- 55 years or older

Patients with CBS:

- have no mental pathologies such as dementia, psychosis or any other neurological diseases

- have a normal cognitive state

- are not able to control the VH

- know that the VH are not real

- are usually older

- have significantly reduced visual acuity due to an bilateral eye pathology

VH associated with CBS:

- disappear when the eyes are closed

- are repetitive

- are complex (eg. objects, geometrical patterns, faces, shapes, figures, scenes, animals or plants)

Exclusion Criteria:

- dopamine agonist medication

- temporal lobe epilepsy

- moderate to severe Alzheimer's dementia

- present chronic alcohol-/drug abuse

- bad cognitive state

There are no:

- auditory or olfactory hallucinations

- other abnormalities like delusions

結果

主な結果の測定

1. Quality of life score between the two groups [3 months]

Quality of life score between the study and control group

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