An 87-year-old woman presented with Charles Bonnet syndrome - the occu
rrence of formed visual hallucinations in sane aged individuals. This
was followed by headaches and unilateral visual loss, and the diagnosi
s of temporal arteritis (TA) was confirmed by biopsy. Steroid therapy
resulted in disappearance of hallucinations, which recurred 7 mo later
, responding to an increase in steroid dosage, Charles Bonnet syndrome
may be an early sign of decreasing visual acuity in aged individuals;
thus, diagnosis of TA or exacerbation of established TA should be con
sidered in such patients.