Case presentation A 93-year-old male patient reported to the emergency department with the chief complaint of visual hallucinations for the past four days. The patient admitted to seeing surrounding objects move by themselves, a purple sky, and flying cars in the sky. He also revealed that these hallucinations, triggered by constant staring at a white wall, resolved on repeated blinking. The patient seemed aware that these visions were unreal phantom visions.
Medical history Bilateral open-angle glaucoma Bilateral cataracts status post phakectomy Heart failure with a preserved ejection fraction Chronic kidney disease end-stage 3a Clinical presentation Intact insight and realization, and orientation Montreal Cognitive Assessment Scale (MoCA) score = 30 Investigations Blood and urine test results were grossly normal. CT-head did not show any acute intracranial pathology. A definite…
