Does Charles Bonnet Syndrome cause confusion? My husband has experienced hallucinations usually upon waking.

My Mom was diagnosed with Charles Bonnet Syndrome due to Wet Macular Degeneration over 10 years ago. She has never had confusion from it. She actually enjoyed seeing the little animals and flowers. She is aware that it's a neurological issue due to the loss of sight. The Doctor explained it to her & she understands it.

Now - on the other hand - when she had delerium due to an infection, she was very confused & had similar type hallucinations.
But, it was very obvious that something was wrong and she required hospitalization due to her altered mental state for the infection. (She had a UTI and Cellulitis)

Thank you for your kind message. My husband was just very confused and thought he was in the bathroom. He had tinkled a bit on the floor. When I told him what he was doing and directed him to the closest bathroom he finished his business. He hasn't mentioned the incident so I don't know if he doesn't remember -- or is just very embarrassed. I was a couple rooms away in the laundry room when he got out of his chair and noticed him standing next to his chair. He had that far away look in his eyes he gets when he's having his CBS visions and I asked what he was doing -- he said going to the bathroom (and he was!) -- he thought he was standing next to the toilet. I told him where he was and took him by the hand into the closest bathroom where he finished peeing. A couple times I've awakened in the night to him walking next to my side of the bed -- trying to find the bathroom. I do think I will get an alarm to know when he gets out of his bed or chair. Thank you again for your wise counsel.

Many people who lose their sight "see" images that aren't there but nothing I've ever read about CBS mentions that kind of confusion where they are an active participant in the hallucination.

"People with CBS visions usually come to realise that the images are not real - that they can't touch them and they are 'mirages'. In medical terms they are illusions (false images which the person knows to be false) rather than delusions (false images which the person firmly believes are real). In a Canadian study, 8 out of 10 of participants knew that the visual hallucinations were not real after the first episode, and 9 out of 10 by the second, although a few did not realise until they had experienced 10 or more episodes.
At first, however, those experiencing the hallucinations may think that they are real. They may prove to themselves that they are not by turning on lights, or by reaching out and attempting to touch the images. One patient described trying to fight off the images of wild animals by using an umbrella."

https://patient.info/eye-care/visual-problems/charles-bonnet-syndrome#nav-2

Will he use a portable urinal? If he can, and you combine that with a chair alarm so that you'll know when he gets up, it'll give you a better chance of being in time to prevent future bathroom misunderstandings.

You say he didn't remember the incident later. At the time, what did he say or how did he respond when you explained he wasn't in the bathroom?