Presentation
Older patients had higher rates of blindness at presentation (P=0.005); blindness and visual impairment rate at presentation were higher in males than females (P=0.029). [dovepress.com]
Leber congenital amaurosis, which is a variant of RP, presents at birth. Late-onset RP typically is asymptomatic and unrecognized until age 40 to 50 years. [unboundmedicine.com]
DISCUSSION We present a series of retinitis pigmentosa patients who presented with symptoms after 55 years of age. [ncbi.nlm.nih.gov]
Skin
- Hypertrichosis
Aldred Syndrome Alstrom syndrome Amaurosis Hypertrichosis autosomal recessive pericentral pigmentary retinopathy Bork Stender Schmidt Syndrome Chang Davidson Carlson Syndrome Chromosome Xp11.3 Deletion Syndrome Cone Dystrophy 4 Cone Dystrophy, X-Linked [rgd.mcw.edu]
Neurologic
- Spastic Quadriplegia
[…] and Pigmentary Tapetoretinal Degeneration SHORT STATURE, HEARING LOSS, RETINITIS PIGMENTOSA, AND DISTINCTIVE FACIES short-rib thoracic dysplasia 9 with or without polydactyly Spastic Quadriplegia, Retinitis Pigmentosa, and Mental Retardation Spondylometaphyseal [rgd.mcw.edu]
- Quadriplegia
Senior-Loken Syndrome 4 Severe Mental Retardation, with Spasticity and Pigmentary Tapetoretinal Degeneration SHORT STATURE, HEARING LOSS, RETINITIS PIGMENTOSA, AND DISTINCTIVE FACIES short-rib thoracic dysplasia 9 with or without polydactyly Spastic Quadriplegia [rgd.mcw.edu]
Workup
Fundus autofluorescence directed the workup toward a retinal etiology and led to the eventual diagnosis of late-onset retinitis pigmentosa through ERG testing. [ncbi.nlm.nih.gov]
Serum
- Microcytosis
Retinitis Pigmentosa 79 Retinitis Pigmentosa 80 retinitis pigmentosa 81 Retinitis Pigmentosa 83 Retinitis Pigmentosa 84 Retinitis Pigmentosa 85 Retinitis Pigmentosa 86 Retinitis Pigmentosa 87 retinitis pigmentosa 9 RETINITIS PIGMENTOSA AND ERYTHROCYTIC MICROCYTOSIS [rgd.mcw.edu]
Microbiology
- Plasmodium Falciparum
[…] pressure-regulating ventilator. 61 Tobia RL...Fischer RJ 10145988 1994 47 Responses of T cells from sensitized donors to recombinant and synthetic peptides corresponding to sequences of the Plasmodium falciparum SERP antigen. 61 Roussilhon C...Ballet [malacards.org]
Treatment
This is a one-time treatment delivered by a specially-trained surgeon who administers the treatment by a sub-retinal injection. [fightingblindness.ie]
There is no cure for RP and treatment options are limited. [clinicaltrials.gov]
Magnet therapy is not advised as the sole treatment for potentially serious medical conditions, and it should not delay diagnosis or treatment with more proven methods. [columbiaeye.org]
Management and treatment Treatment is primarily aimed at slowing progression of the disease. Vitamin A palmitate and lutein-DHA may be provided as protecting antioxydants. [orpha.net]
Acetazolamide in the treatment of X-linked retinoschisis maculopathy. Arch Ophthalmol. 2007;125:571-573. Grover S, Apushkin MA, Fishman GA. Topical dorzolamide for the treatment of cystoid macular edema in patients with retinitis pigmentosa. [rarediseases.org]
Prognosis
What is the prognosis for retinitis pigmentosa? The prognosis varies widely among RP patients, with some retaining 20/40 or better vision in at least one eye and others eventually losing all useful central vision. [medicinenet.com]
Prognosis The prognosis for patients with retinitis pigmentosa is dependent on the age of onset, and pattern of inheritance. Early-onset symptoms and severe vision loss and night blindness are expected with the autosomal recessive form of RP. [statpearls.com]
Prognosis Except for mild cases or sectorial RP, most cases progress to legal blindness (visual acuity < 1/20 and visual field < 5 degrees). The documents contained in this web site are presented for information purposes only. [orpha.net]
The aim is to better understand the long-term prognosis (outcomes) of the condition and to work out the underlying mechanism of the disease. [newcastle-hospitals.org.uk]
Extensive systemic and ocular evaluations are important and should be combined with genotyping in both familial and nonfamilial cases to determine the diagnosis and prognosis. [disorders.eyes.arizona.edu]
Etiology
Etiology and Pathophysiology Mutations in the rhodopsin gene account for ~30% of cases of autosomal dominant RP. Another 4–6% of autosomal dominant RP is caused by a mutation in the gene for a photoreceptor protein peripherin/RDS. [unboundmedicine.com]
Fundus autofluorescence directed the workup toward a retinal etiology and led to the eventual diagnosis of late-onset retinitis pigmentosa through ERG testing. [ncbi.nlm.nih.gov]
Epidemiology
Summary Epidemiology Prevalence of RP is reported to be 1/3,000 to 1/5,000. No ethnic specificities have been reported although founder effects are possible. Clinical description Retinitis pigmentosa is slowly progressive but relentless. [orpha.net]
Isolated cases, with no family history, also commonly occur Epidemiology Prevalence in all ages is approximately 1 in 4,000[1]. Three types have been found determined by age of onset. [patient.info]
Clinics, epidemiology and genetics of retinitis pigmentosa. Curr Genomics. 2011;2:236–237. 4. Buch H, Vinding T, La Cour M, et al. [dovepress.com]
Keywords: clinical (human) or epidemiologic studies: natural history • retinal degenerations: hereditary © 2010, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. [iovs.arvojournals.org]
Epidemiology Nonsyndromic retinitis pigmentosa has a worldwide prevalence of about one in 5000, and carriers number about one in 1000. Males are affected slightly more often than females due to the X-linked form expressing more frequently in males. [statpearls.com]
Pathophysiology
Etiology and Pathophysiology Mutations in the rhodopsin gene account for ~30% of cases of autosomal dominant RP. Another 4–6% of autosomal dominant RP is caused by a mutation in the gene for a photoreceptor protein peripherin/RDS. [unboundmedicine.com]
Pathophysiology As previously mentioned, there are multiple genetically directed mechanisms for the progress of retinitis pigmentosa. Apoptosis is essentially physiologic programming for cell death, which can be triggered by a genetic mutation. [statpearls.com]
Bardet-Biedl syndrome: Genetics, molecular pathophysiology, and disease management. Indian J Ophthalmol. 2016;64(9):620-7. Radtke ND, Aramant RB, Seiler MJ, Petry HM, Pidwell D. [rarediseases.org]
Prevention
Genetics Autosomal dominant: 20% Autosomal recessive: 37% X-linked recessive: 4.5% Sporadic: 38.5% Risk Factors Family history General Prevention Genetic counseling No conclusive evidence demonstrates that the amount of light modifies the course of RP [unboundmedicine.com]
Education about the disease is necessary to enhance early presentation, prevent avoidable blindness, and enhance rehabilitation. [dovepress.com]
RP10 form of retinitis pigmentosa. 61 Wang XT...Engel PC 21791244 2011 19 Unveiling novel genes upregulated by both rhBMP2 and rhBMP7 during early osteoblastic transdifferentiation of C2C12 cells. 61 Bustos-Valenzuela JC...Sogayar MC 21943021 2011 20 Prevention [malacards.org]
Early detection through regular eye examination and prompt treatment is essential to prevent vision loss. [afb.org]
Prevention Some assessment of the risk of having an affected child may be made by genetic counselling. There may be a future role for gene therapy[16]. [patient.info]