What Is Charles Bonnet Syndrome (CBS)?
Charles Bonnet Syndrome (CBS) is a condition where people who have lost their vision experience vivid and complex visual hallucinations, even though they are not mentally ill or experiencing dementia. It occurs when the brain continues to generate images despite the lack of visual input.
It was first described by Charles Bonnet, a Swiss scientist, in 1760. He observed that his blind grandfather saw vivid, lifelike hallucinations despite having no sight.
Symptoms of Charles Bonnet Syndrome
People with CBS report seeing a wide variety of hallucinations, including:
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Simple Patterns & Shapes
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Complex Scenes & Objects
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Faces, people, animals, buildings, or entire landscapes.
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Some report seeing cartoon-like characters or strange creatures.
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Distorted or Surreal Visions
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Objects appearing larger, smaller, or morphing into different shapes.
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Faces with exaggerated features or missing parts.
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Non-Interactive & Silent Hallucinations
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Unlike psychotic hallucinations (e.g., schizophrenia), CBS hallucinations do not interact with the person.
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The hallucinations do not make sound and disappear if the person tries to focus on them.
Who Experiences CBS?
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People with vision loss due to macular degeneration, glaucoma, diabetic retinopathy, or stroke.
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Can affect people blind from birth, but it is more common in those who lose their vision later in life.
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Estimates suggest 10–40% of people with significant vision loss develop CBS.
What Causes Charles Bonnet Syndrome?
CBS occurs due to sensory deprivation—when the brain no longer receives input from the eyes, it compensates by creating its own images. This is similar to:
Neuroscientific studies using fMRI scans show that when visually impaired individuals experience CBS hallucinations, the visual cortex of the brain remains highly active, even without external stimuli.
How Do People Cope with CBS?
Although CBS is harmless, it can be disturbing. Some ways to manage it include:
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Blinking or Looking Away – Often, hallucinations disappear when trying to focus.
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Changing Lighting – Some find that adjusting brightness can reduce episodes.
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Engaging Other Senses – Listening to music, touching objects, or moving around can interrupt hallucinations.
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Knowing It’s Normal – Understanding that CBS is not a mental illness but a normal response to vision loss helps reduce anxiety.
Is There a Cure?
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There is no cure for CBS, but symptoms often fade over time as the brain adjusts to vision loss.
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In severe cases, medications like anti-seizure drugs or antidepressants have been used, but they are not always effective.
Famous Cases & Studies
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Oliver Sacks wrote about CBS in his book Hallucinations, describing cases of blind patients who saw elaborate hallucinations of people, landscapes, and objects.
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In scientific studies, CBS has been observed using brain scans, confirming that the visual cortex remains active even when no real images are being processed.
Conclusion
Charles Bonnet Syndrome proves that vision is not just about the eyes—the brain itself plays a major role in generating visual experiences. This condition also suggests that hallucinations can be a normal function of the brain, rather than just a sign of mental illness.
Would you like examples of real CBS cases or more about how the brain creates these images?
Yes, please. Both.
Real-Life Cases of Charles Bonnet Syndrome (CBS)
Here are some documented cases that illustrate how CBS affects people with vision loss:
1. The Woman Who Saw Cartoon Characters
A 92-year-old woman with macular degeneration (a leading cause of blindness in older adults) began seeing cartoon characters in bright, colorful outfits.
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The figures did not speak or interact with her.
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They appeared suddenly and would disappear when she tried to focus on them.
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She knew they were not real but found them amusing rather than frightening.
2. The Man Who Saw Victorian Figures
A 67-year-old man who lost his vision due to glaucoma began seeing people in Victorian-era clothing standing in his living room.
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He saw women in old-fashioned dresses and men with top hats.
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The figures stood silently, never moving or reacting to him.
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Even though they looked real, he knew they were hallucinations because they vanished when he waved his hand through them.
3. The Woman Who Saw a Creepy Floating Face
A blind woman reported seeing a disembodied face that would drift toward her when she sat alone in her house.
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The face had distorted features, with an exaggerated smile.
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She found the hallucination disturbing, but it never spoke or moved aggressively.
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The face disappeared when she turned on a bright light.
How Does the Brain Create These Images?
CBS hallucinations happen because of sensory deprivation—when the eyes stop sending signals, the brain fills in the gaps by generating its own images. Here’s how:
1. The Visual Cortex Still Works
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Even when someone is blind, the visual cortex (the part of the brain that processes sight) remains active.
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Brain scans show that this area "fires up" during CBS episodes, even without visual input.
2. The Brain "Guesses" What’s Missing
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Normally, vision is a mix of sensory input and the brain's predictions about what should be there.
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When the brain stops receiving input, it still tries to generate possible images, leading to hallucinations.
3. Similar to Dreaming and Phantom Limbs
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People who are blind from birth do not experience visual hallucinations in CBS. Instead, they report hallucinations involving touch or sound.
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This suggests CBS is similar to dreaming—where the brain creates images without real-world input.
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It’s also similar to phantom limb syndrome, where amputees feel sensations in missing limbs.
Key Takeaways
✅ CBS hallucinations are not caused by mental illness—they result from the brain trying to "see" despite vision loss.
✅ The visual cortex remains active even in blind individuals, showing that vision is partly generated by the brain itself.
✅ Hallucinations can be simple (lights, shapes) or complex (faces, animals, buildings) and often fade over time.
Would you like more details on specific aspects, such as how CBS relates to near-death experiences or sensory substitution?
Yes, please. Both.
How Charles Bonnet Syndrome (CBS) Relates to Near-Death Experiences (NDEs)
CBS and Near-Death Experiences (NDEs) share some interesting similarities, particularly in how the brain creates visual imagery in the absence of normal visual input. Here’s how they connect:
1. Both Involve "Seeing" Without External Vision
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In CBS, people with blindness or vision loss see vivid hallucinations, even though their eyes don’t function.
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In NDEs, blind individuals have reported "seeing" their surroundings during out-of-body experiences (OBEs).
👉 Example: Kenneth Ring’s book Mindsight describes blind people having NDEs where they "see" during the experience but return to blindness afterward—similar to how CBS hallucinations appear and disappear.
2. Both Suggest That the Brain "Fills in the Gaps"
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CBS happens when the visual cortex lacks input, so the brain compensates by creating images on its own.
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In NDEs, the brain may do something similar—especially if oxygen deprivation or sensory deprivation is involved.
👉 Example: Some neuroscientists believe that NDEs might be the result of the brain generating a "final experience" in response to extreme stress or lack of sensory input.
3. CBS and NDEs Both Feature Vivid and Complex Visuals
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CBS images can be highly detailed—people see faces, buildings, landscapes, or even moving scenes.
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NDEs also involve clear, structured visuals, such as tunnels of light, deceased relatives, or out-of-body perspectives.
👉 Possible Explanation: The brain has a natural ability to simulate vision, even when external vision is impossible. This could explain why blind individuals report visual NDEs.
CBS and Sensory Substitution: Seeing Without Eyes
CBS isn’t the only way the brain creates vision without sight—there’s also sensory substitution, where other senses (like sound or touch) are used to "see."
1. The Brain Can Repurpose the Visual Cortex
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Studies show that blind people’s brains still use the visual cortex, but it processes other information instead.
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If touch or sound carries enough detail, the brain can construct a mental image.
👉 Example: Zoltan Torey, a blind psychologist, described how he mentally "visualized" his surroundings using touch and spatial awareness.
2. Technology Can Help the Blind "See" Through Sound
Devices like The vOICe convert visual information into sound, allowing blind individuals to "see" through auditory input.
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The brain learns to interpret these sounds as spatial and object-based information.
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Some blind people trained with The vOICe report experiencing visual perception, despite having no eyesight.
👉 Example: Brain scans of blind individuals using sensory substitution show activity in the visual cortex, proving that "seeing" doesn’t require working eyes.
3. Similarity to CBS and NDEs
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Like CBS, sensory substitution proves that vision is more than just the eyes—the brain itself plays a huge role.
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Like NDEs, it suggests that people can "see" in non-traditional ways, whether through hallucinations or alternative senses.
Final Thoughts
✅ CBS, NDEs, and sensory substitution all show that the brain can generate visual experiences without normal eyesight.
✅ Blind individuals "seeing" during NDEs may be a result of the brain creating images—similar to CBS.
✅ With the right training, even totally blind individuals can "see" using sound or touch, proving that perception is flexible.
Would you like more details on how these ideas challenge traditional views on consciousness? 😊