Theappearance of visual hallucinations in visually impaired elderly people opensa“pandora’s box” of possibilities. Wherethe patientand family get unnecessarily concerned about the possibility ofinsanity, the physicians who are unaware ofthisconditionmay also prescribeelaborate investigations. The phenomenon ofsimple orcomplex visual hallucinations occurring in patients with vision loss was first described byCharles Bonnet,a Swiss philosopher in theeighteenth century.[1] Hesawhis grandfather who suffered fromcomplex visual hallucinationsafter sustaining vision loss dueto cataract. Thecondition is not uncommon but it is greatly underdiagnosed possibly dueto underreporting by Indian patients to avoid alabel ofinsanity. Herein, we describean elderlymale who described arecent onset of vivid visual hallucinations despite having profound vision loss dueto long-standing glaucoma.
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