Retinitis Pigmentosa (RP) is a group of genetic disorders that affect the retina’s ability to respond to light. This inherited degenerative disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision. If untreated, eventually blindness results.
The retina is the layer of light-sensing cells lining the back of your eye that converts light rays into nerve impulses. The impulses are sent through the optic nerve to your brain, where they are recognized as images. With RP, cells in the retina called rods and cones die. With most forms of RP, rods — which are mainly in the outer regions of the retina and are responsible for our peripheral and night vision – degenerate first. When the retina’s more centrally-located cones are affected, the result is loss of color perception and central (reading) vision.
Retinitis Pigmentosa causes slow loss of vision. Symptoms begin with decreased night vision and later progress to loss of peripheral (side) vision — creating a “tunnel vision” effect. Some people may also have difficulty identifying colors. The rate of vision change varies in different people depending on the genetic makeup of their disorder.
As night vision decreases, the ability to adjust to darkness becomes more difficult. You may stumble over objects in the dark, find driving at dusk and night difficult and see poorly in dimly lit rooms, such as a movie theater. While your vision during the day may be completely normal, your inability to see in dark conditions is considered “night blindness.”
In some cases, central vision may be affected first, making detail work difficult, such as reading or threading a needle. This may be referred to as macular dystrophy, because the central area of the retina, called the macula, is affected.
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