Charles Bonnet syndrome (CBS) is a common occurrence of visual hallucinations in the elderly with visual impairment. It is generally benign and is managed supportively and non-pharmacologically with interventions to restore vision. In its atypical form, it also has hallucinations in other modalities. We report here a case of atypical CBS in a 56-year-old man with bilateral vision loss due to an old injury in one eye and the mature cataract in another eye. The patient responded well to olanzapine.
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