Seeing multicolored spots
A few weeks ago, my DS, just turned 9, told me he was seeing multicolored spots of light across his field of vision. At first I thought he was describing the colors you sometimes see when you close your eyes at night. But he says the spots are always there, even in daytime, just more vivid in the dark. He has started going to sleep with the light on because he doesn't like seeing the spots. He says they are tiny, like pixels on the computer screen. They don't interfere with his vision too much, but he knows they are not supposed to be there, and that bothers him.
Does this sound like an hallucination? A side effect from Prozac? An eye problem?
DS's provisional diagnosis is schizoaffective, and in the past, he has seen shadowy figures out of the corner of his eye and has had the illusion that an inanimate object was a person (e.g., He thought someone was coming towards him in the yard, but it turned out to be a stick.) He has also heard a voice commenting on what he is doing, and another one calling his name.
Given DS's previous psychotic symptoms, I think the spots could well be an hallucination coming from the underlying illness. DS was taken off an antipsychotic (Zyprexa) at the same time he started the Prozac. On the other hand, I know antidepressants can cause mania in bipolar disorder, so I wonder whether the spots are a weird side effect from the Prozac. DS has also begun pacing at night and says he feels he is "being followed everywhere by armed security."
Pdoc, in case you are wondering, is out of town (back on Monday). The pdoc who is covering for him says she has not heard of multicolored lights being a psychiatric symptom and thinks the problem may be neurological--e.g., something wrong with the optic nerve. She did say the feeling of being followed was definitely a psychotic symptom and that DS probably does need to be on an antipsychotic. I've added back in the Risperdal DS used to be on, though at a lower dose than before, and that has helped with the pacing and with DS's behavior. (He can be physically aggressive towards me, in addition to arguing and making unreasonable demands.) The spots are still there, though.
I haven't posted here often, and reading over what I have written here is hard. DS sounds really ill! And yet he can have a day like today when he is sweet and funny and cooperative. (He is sick with a cold and fever, and I think that and the Risperdal have helped mellow him out.)
DS 9, adopted at 5 mos., Schizoaffective Disorder (Trileptal 600 mg., Lithium 900 mg., Prozac 5 mg., Risperdal 1.5 mg.)
DD 5, adopted at 4 1/2 mos., amazingly well adjusted considering all she has seen and heard