DOI: 10.36347/sjmcr.2015.v03i02.022

Pages: 137-138

We present a case of Charles Bonnet syndrome that occurred secondary to acute postoperative blindness in a 47-year-old woman. She had a 13-year history of tuberculumsellae meningioma. After she underwent surgical resection of residual tumor that had adhered to the left optic nerve, visual acuity worsened postoperatively until there was no light perception in either eye. Four months later, she experienced visual hallucination. After the 2-year follow-up period, she began experiencing recurring visual hallucinations, at intervals of several months. Initially, she was puzzled and felt that these conditions were part of the visual function recovery process. After a while, however, she became aware that her perceived visual imagery was not real. It was explained to her that the visual experiences were illusory, and she was reassured that she had no mental illness and that her problem could be alleviated. In conclusion, appropriate support and reassurance should be offered to those who cannot cope with their hallucinations.