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Retinitis Pigmentosa - Bone Spicules 32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has photographs from him which do show peripheral pigment degeneration and optic atrophy extending inside the arcades. She was seen up at Emery and had a visual field test from there showing significant visual field loss. Now she has moved back to the St. Petersburg area and comes in for an evaluation. She has difficulty with night vision but overall she is doing pretty well. VISUAL ACUITY: Vision OU is 20/25. IOP: OD 12, OS 16. Color vision is 10/10 correct OU. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There are 1+ vitreous cells. There is 1+ optic atrophy. There is peripheral paving-stone degeneration with bone spicules extending inside the arcade, not significantly different from the photos of 2003. OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and there is no macular edema. There are bone spicules and peripheral pigment degeneration extending inside the arcades, again not much different from the photos in 2003. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. RETINITIS PIGMENTOSA – BOTH EYES DISCUSSION: I explained to the patient she does unfortunately have retinitis pigmentosa. I am going to obtain a visual field test which will help to follow the disease and I suggest she return for check in a year. In the meantime, I asked her to consider taking omega-3 fatty acids. In addition, I asked her to discuss with you adding blue blocker tints to her lenses which may protect her retina from the high energy light. I asked her to return urgently should she notice any problem. I informed her there is some interesting research regarding retinitis pigmentosa with both gene transfer therapies and with therapies that may help the cones from degenerating and preserve central vision in patients such as she.
Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes778 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well. Vision OU is 20/25. (0 votes)	Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes624 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well. Vision OU is 20/25. (0 votes)	Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes633 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well. Vision OU is 20/25. (0 votes)	Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes710 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well. Vision OU is 20/25. (0 votes)
Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes602 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well. Vision OU is 20/25. (0 votes)
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32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has photographs from him which do show peripheral pigment degeneration and optic atrophy extending inside the arcades. She was seen up at Emery and had a visual field test from there showing significant visual field loss. Now she has moved back to the St. Petersburg area and comes in for an evaluation. She has difficulty with night vision but overall she is doing pretty well. VISUAL ACUITY: Vision OU is 20/25. IOP: OD 12, OS 16. Color vision is 10/10 correct OU. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There are 1+ vitreous cells. There is 1+ optic atrophy. There is peripheral paving-stone degeneration with bone spicules extending inside the arcade, not significantly different from the photos of 2003. OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and there is no macular edema. There are bone spicules and peripheral pigment degeneration extending inside the arcades, again not much different from the photos in 2003. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. RETINITIS PIGMENTOSA – BOTH EYES DISCUSSION: I explained to the patient she does unfortunately have retinitis pigmentosa. I am going to obtain a visual field test which will help to follow the disease and I suggest she return for check in a year. In the meantime, I asked her to consider taking omega-3 fatty acids. In addition, I asked her to discuss with you adding blue blocker tints to her lenses which may protect her retina from the high energy light. I asked her to return urgently should she notice any problem. I informed her there is some interesting research regarding retinitis pigmentosa with both gene transfer therapies and with therapies that may help the cones from degenerating and preserve central vision in patients such as she.