psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2022-20-4-139-143psychiatry-878Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSСиндром Шарля Бонне в клинике психических расстройствCharles Bonnet Syndrome in the Clinic of Mental Disordershttps://orcid.org/0000-0002-9870-4369МиргянМ. С.MirgyanM. S.

Миргян Маринэ Саркисовна - младший научный сотрудник.

Санкт-Петербург

Marine S. Mirgyan - Junior Researcher, V.M. Bekhterev National Medical Research Center, for Psychiatry and Neurology, Ministry of Health.

St. Petersburg

marinemirgyan1995@mail.ruhttps://orcid.org/0000-0001-7829-2486ИвановМ. В.IvanovM. V.

Иванов Михаил Владимирович - доктор медицинских наук, профессор, научный руководитель отделения биологической терапии психически больных.

Санкт-Петербург

Mikhail V. Ivanov - Dr. of Sci. (Med.), Professor, Head of the Biological Therapy Department of Mentally Patients, V.M. Bekhterev National Medical Research Center, for Psychiatry and Neurology, Ministry of Health.

St. Petersburg

profmikhailivanov@gmail.comhttps://orcid.org/0000-0002-7700-2704МихайловВ. А.MikhailovV. A.

Михайлов Владимир Алексеевич - доктор медицинских наук, профессор, научный руководитель отделения экзогенно-органических психических расстройств и эпилепсии.

Санкт-Петербург

Vladimir A. Mikhailov - Dr. of Sci. (Med.), Professor, Head of the Exogenous Department Organic Mental Disorders and Epilepsy, V.M. Bekhterev National Medical Research Center, for Psychiatry and Neurology, Ministry of Health.

St. Petersburg

VLADMIKH@yandex.ruНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева Министерства здравоохранения Российской ФедерацииРоссияV.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Ministry of Health, Russian FederationRussian Federation202210012023204139143Copyright © Миргян М.С., Иванов М.В., Михайлов В.А., 20232023Миргян М.С., Иванов М.В., Михайлов В.А.Mirgyan M.S., Ivanov M.V., Mikhailov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/878

Цель обзора: анализ научных публикаций о синдроме Шарля Бонне у больных с билатеральным снижением/утратой зрения либо с изменением полей зрения, не связанными с нарушением когнитивных функций или помрачением сознания. Материалы и методы: по ключевым словам «синдром Шарля Бонне (СШБ)», «амавроз», «зрительные галлюцинации» проведен поиск статей в базах данных MEDLINE/PubMed, sciencedirect.com, Scopus. Заключение: зрительные галлюцинации часто появляются у пациентов со сниженным зрением или при полной потере зрения. Психические расстройства у пациентов с СШБ в связи с дезадаптивным поведением негативно влияют на качество жизни, приводят к ухудшению настроения и в некоторых случаях к развитию депрессии. Синдром Шарля Бонне может быть ассоциирован с такими поздневозрастными нарушениями, как энуклеация, неврит зрительного нерва, диабетическая ретинопатия, макулярная дегенерация, катаракта, глаукома. Соответственно, частота синдрома Шарля Бонне высока в позднем возрасте. Несмотря на актуальность СШБ, остаются недостаточно изученными механизмы формирования зрительных галлюцинаций и не разработаны способы лечения.

The aim was to analyze scientific publications on Charles Bonnet syndrome in patients with visual impairment. Materials and methods: using the keywords “Charles Bonnet syndrome” (CSB), “blindness”, “hallucinations”, articles were searched in the databases MEDLINE/PubMed, sciencedirect.com, Scopus. Conclusion: Charles Bonnet syndrome is characterized by the presence of complex visual hallucinations, triggered by vision deprivation in the absence of neurological, psychiatric, and/or systemic disorders. The patient usually perceives the hallucinations as not real, which reduces anxiety, although the content, duration, and frequency are variable. Charles Bonnet syndrome can be associated with age-related entities such as enucleation, optic neuritis, diabetic retinopathy, macular degeneration, cataracts, and glaucoma, among others. Accordingly, its prevalence is relatively high in geriatric patients. CBS is very common, but the pathophysiology of hallucinations and treatments are currently unknown. Our goal is to inform doctors about this syndrome.

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The authors declare that there are no conflicts of interest present.