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Retinitis
Pigmentosa - RP
The
term Retinitis Pigmentosa represents a group of retinal diseases
characterized by progressive degeneration of the peripheral retina.
The term "retin" "itis"
is descriptive. It means there are signs of retinal
"itis" or inflammation. Similarly,
the term "pigmentosa" relates
to the spicular pigmentation which
forms within affected retina. Though there is inflammation associated
with RP, it is not thought to be contagious.
RP
typically affects the peripheral retina first resulting in loss
of peripheral vision. To get an idea what this is like for an RP
patient, you might try looking through the hole in a donut. You
will see that RP causes tunnel vision. This means that while an
RP patient's central vision can be excellent while their ability
to simultaneously look to the sides, up or down is markedly impaired.
Sometimes
RP is associated with hearing loss and this is called Usher's
Syndrome. Other times RP can be associated with swelling
of the macular retina (called cystoid macular edema) with resultant
loss of central vision.
There
is no typical age of onset for RP or degree of severity. Therefore
it is impossible to predict the outcome for any individual patient.
Treatment:
Unfortunately,
there is no currently available treatment to halt the progression
of most retinal dystrophies. Many unproven treatments continue to
be attempted and research scientists continue to investigate many
potential treatments.
FAQ's:
Q:
Does light harm an RP eye?
A:
No, but long exposures to bright light are avoided to protect these
eyes. Patients can work in dim light as much as they like.
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Q:
If my child has RP should I get an eye examination?
A:
Yes, it is possible that another member of your family will be found
to be affected by RP. You should consult your doctor about genetic
testing and professional genetic counseling.
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Q:
Can I get my cataract removed if I have RP?
A:
Cataract surgery can be performed on an eye with RP. The results
of this surgery depend on the extent of pre-existing retinal degeneration
and the eye's reaction to surgery.
The
Genetics of Retinitis Pigmentosa
Autosomal
Recessive Inheritance:
This
is the most common form of RP where both parents are asymptomatic
carriers of the gene (not affected by the disease). In this case,
25% of their children will be affected (no matter which sex).
Autosomal
Dominant Inheritance:
In
this type of inheritance, one parent has RP and each child has a
50% chance of getting the disease.
X-linked
Recessive Inheritance:
X-linked
is the least common form of RP. This form must be carried by the
mother who passes the RP gene to her son. There is a 50% chance
that the each son will develop RP and a 50% chance that each daughter
will be a carrier.
About
Usher's Syndrome
Related
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