Retinitis Pigmentosa

Retinitis pigmentosa, or RP, comprises a group of genetic conditions that negatively affect the retina’s photoreceptors. This causes gradual—and in some cases rapid—decline in vision. Peripheral vision declines prior to central vision. For many, this deterioration is markedly noticeable at night; known as nyctalopia, or night blindness. The three classic signs of RP are waxy optic nerve pallor, arteriolar attenuation, and bone spicule pigmentation. However, this triad is not present in all affected individuals. There is no definitive treatment for retinitis pigmentosa. Still, diagnosis is key to providing patients with appropriate resources such as low vision aids, occupational and vocational opportunities, or information on gene therapy trials available to optimize remaining vision and functional independence over time. This case presents a classic variant of RP.