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What Are Visual Hallucinations?

Perceptions of visual stimuli that are generated internally by the brain and are not based on any external sensory input. They can range from simple, unformed geometric shapes (photopsias) to complex scenes and people.

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What Are Visual Hallucinations?

Perceptions of visual stimuli that are generated internally by the brain and are not based on any external sensory input. They can range from simple, unformed geometric shapes (photopsias) to complex scenes and people.

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Ocular Causes

In ophthalmology, they are associated with severe visual loss, known as Charles Bonnet Syndrome (CBS). The brain creates its own visual input to compensate for the lack of real input (deafferentation).

Neurological Causes

Can also be caused by neurological conditions (e.g., epilepsy, stroke, migraine aura), psychiatric conditions, or certain medications.

Distinction from Illusions

Hallucinations are entirely fabricated perceptions. Illusions are misinterpretations of real external stimuli.

Are CBS hallucinations scary?

They are typically not scary or threatening, and the patient usually retains insight, meaning they know what they are seeing is not real.

What are photopsias?

Simple visual hallucinations of unformed shapes like flashes, sparks, or jagged lines, often caused by mechanical stimulation of the retina or vitreous traction.

Can they be caused by migraines?

Yes. The most common migraine aura is a complex, shimmering, zig-zag pattern of light called a scintillating scotoma.