[关键词]
[摘要]
邦纳综合征(CBS)描述了在没有神经精神障碍的人群中,由于视觉通路损害而出现的幻视。CBS患者通常能洞察到幻觉不是真实的,该病可能是偶发性的、周期性的或者慢性的。由于CBS缺乏统一的诊断标准,加上部分患者对承认幻视存在顾虑,该病的患病率存在差异,从0.4%到30%不等。大量研究表明CBS可能与许多眼部疾病有关,如年龄相关性黄斑变性、青光眼等。除此之外,也有继发于眼科手术或药物治疗的CBS相关报道,因此临床医生应提高对该病的重视,及时诊断并缓解患者情绪。目前有关CBS的眼科学文献资料较少,有必要对其进行总结分析,以探讨其发病机制和诊疗方案。本文就以近年来一些与CBS有关的研究做一综述。
[Key word]
[Abstract]
Charles Bonnet syndrome(CBS)refers to hallucinations resulting from visual pathway damage in individuals without neuropsychiatric disorders. CBS patients typically have insight into the unreality of their hallucinations, and the disorder may be episodic, periodic, or chronic. The condition's prevalence varies from 0.4% to 30% due to the absence of agreed diagnostic criteria for CBS and some patients' reluctance to acknowledge hallucinations. Massive studies have demonstrated an association between CBS and ocular diseases, such as age-related macular degeneration and glaucoma. Additionally, there have been reports of CBS occurring after ophthalmic surgery or medication. Therefore, clinicians should be vigilant in diagnosing CBS promptly and reassuring patients. There is a lack of literature on CBS in ophthalmology, and further research is needed to explore its pathogenesis and diagnostic and therapeutic options. This article reviews some of the studies related to CBS in recent years.
[中图分类号]
[基金项目]
国家自然科学基金资助项目(No.82160200); 遵义市科技计划项目\〖No.遵市科合HZ(2022)58号\〗