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Medical Forum / General / Vision / November 2005

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AMD and a curious symptom

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Bert Coules - 28 Nov 2005 19:26 GMT
My mother, who is in her eighties, was diagnosed some time ago with (dry)
age-related macular degeneration.  As well as the expected and
well-documented effects (which happily, she is coping with well) she is
experiencing another symptom: basically, she sees "phantom images" of things
which are not actually there, moving around in her field of vision.

From her description, these are not mis-interpreted floaters but something
more solid-appearing and more apparently real.  We suspect that what she is
seeing could be distorted multiple images of the objects she is actually
looking at, but this is a pure guess.  She has been examined by her doctor,
her optician and a consultant, none of whom were able to explain the
symptoms.  Mentally, she is quite unimpaired.

One factor which might be relevant is that when she first wakes up in the
morning the effect is not present; but it manifests itself soon afterwards
and persists throughout the day.

I would be most grateful to know if this symptom strikes any chords with
anyone here.

Many thanks,

B Coules
Ann - 28 Nov 2005 23:54 GMT
>My mother, who is in her eighties, was diagnosed some time ago with (dry)
>age-related macular degeneration.  As well as the expected and
[quoted text clipped - 15 lines]
>I would be most grateful to know if this symptom strikes any chords with
>anyone here.

I don't  know about AMD but I have had an eye removed and do get
phantom vision.  I know of others who do too.  We tend to see the last
thing that we saw with that eye.  So for me it's a red coloured swirl
as the last thing I saw was blood in the eye.  For a friend who lost
her vision but didn't actually lose her eyes, she sees what looks like
red scarves waving about.  The last thing she saw was blood dripping
down in front of her eyes.  Another friend who was wrapping her
precious possessions in bubblewrap before going blind, sees
bubblewrap.   What that tells you, I don't know, except that anything
is possible.

Ann
Bert Coules - 29 Nov 2005 09:05 GMT
Ann,

> I... do get phantom vision.  I know of others who do too.

Thanks for that; your description  of what you experience is fascinating.  I
don't think my mother's condition is directly related, since she sees more
than a single image, but I'm pleased to know that phantom images are not
unheard of.

Bert
The Real Bev - 29 Nov 2005 04:33 GMT
> My mother, who is in her eighties, was diagnosed some time ago with (dry)
> age-related macular degeneration.  As well as the expected and
[quoted text clipped - 15 lines]
> I would be most grateful to know if this symptom strikes any chords with
> anyone here.

Is she on any kind of heart or sleeping medication?  My MIL had a number of
prescriptions for CHF and insomnia, with the occasional bit of Aricept because
the neurologist had no better idea even though Alzheimer's was not a problem,
and had "visions" every once in a while.  She hesitated to mention them for
fear her stable of doctors would think she'd gone nuts, but when she finally
mentioned it she was told that "visions" were a side effect of one of the
drugs and she might as well enjoy them while they lasted.

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Cheers,
Bev
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Bert Coules - 29 Nov 2005 09:06 GMT
Bev,

> Is she on any kind of heart or sleeping medication?  My MIL...
> was told that "visions" were a side effect of one of the drugs...

That's an interesting possibility.  I'm not sure of exactly what drugs my
mother is taking; I'll look into it.

Thanks.

Bert
proteus4now@yahoo.com - 29 Nov 2005 20:20 GMT
What you have described sounds like Charles Bonnet Syndrom.  Happily,
it is not something to be too worried about.  While it is little known,
it is fairly common in visually impaired older people.  Google the term
for more information.  Also, there is a good discussion of the disorder
in "Phantoms in the Brain" by V.S. Ramachandran.

BTW, I am not a doctor.
The Real Bev - 30 Nov 2005 04:35 GMT
> What you have described sounds like Charles Bonnet Syndrom.  Happily,
> it is not something to be too worried about.  While it is little known,
> it is fairly common in visually impaired older people.  Google the term
> for more information.  Also, there is a good discussion of the disorder
> in "Phantoms in the Brain" by V.S. Ramachandran.

Yes!  The name sounds familiar and now I remember the Doheny doctor
(ophthalmological surgeon) talking about it.  My MIL lost most of her useful
vision perhaps 5 years before her death.  She saw her daughter and a couple of
other people but knew they weren't real.

<http://www.rnib.org.uk/xpedio/groups/public/documents/PublicWebsite/public_rnib0
03641.hcsp
>

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Cheers,
Bev
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let them write it themselves."           -- Anon.

Bert Coules - 30 Nov 2005 11:32 GMT
> What you have described sounds like Charles Bonnet Syndrom.

Thanks for that: I've looked it up and I agree: it could well be what my
mother is experiencing.  I'll pass the information on to her.

We also went through the documentation with her medications and found two
items which listed "blurred vision and possible hallucinations" as potential
(if uncommon) side effects: Zoton (Lansoprazole) and Tenkorex (Cefalexin);
she plans to ask her doctor about these when she next sees him.

Thanks to everyone for the replies.

Bert

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