Qué es la retinosis pigmentaria

Retinosis pigmentosa is a kind of inhereted dystrophy that affects the retina and causes a slow vision loss and affects both eyes. It begins with a loss of night and lateral vision and ends causing blindness.

This pathology mainly affects the retina, which is the layer of tissue at the back of the eye that captures the light images received by the eye and transmits them to the brain through the optic nerve.

What causes retinitis pigmentosa?

In most cases, the origin of retinitis pigmentosa is hereditary and is linked to the X chromosome. However, it can also appear spontaneously, i.e. a person can suffer from this pathology even if they have no family history. This disorder is more prevalent in men than in women.

Retinitis pigmentosa is characterized by the gradual destruction of some cells (cones and rods) in the retina, leading to loss of color perception and central vision. The degree of vision loss may vary in each case, but most affected people reach legal blindness (visual acuity less than 20-200 with correction and visual field less than 20 degrees) before the age of 40.

What are the most frequent symptoms?

Retinitis pigmentosa is characterized by its silent onset and slow progression.

Some of the most frequent symptoms are the following:

  • Reduced field of vision: it manifests with loss of peripheral vision and, as it progresses, may lead to loss of central vision.
  • Night blindness (nyctalopia): this is one of the first symptoms to appear.
  • Decreased visual acuity: the affected person has greater difficulty in perceiving colors and shapes of objects.
  • Glare (photopsia): visualization of flashes of light, making vision difficult.

How is it diagnosed?

Usually in order to diagnose this pathology, tests like these ones are performed:

Are there any treatments for retinitis pigmentosa?

As of today, retinitis pigmentosa has no cure. However, gene therapy and stem cell treatments could, in the future, represent a breakthrough for the cure of this pathology. Other options, such as microchip implantation in the retina in order to allow artificial vision, are still in development.

Therefore, right now there is no definitive treatment.

Can it be prevented?

As it is a disease that in most cases has a hereditary component, there are no effective preventive measures.

When the disease manifests itself, measures such as the use of sunglasses to protect the retina from ultraviolet rays are recommended, as well as regular check-ups with a specialist to avoid the development of associated risk factors.

It is also important that those affected receive support to help them adapt correctly to vision loss. There are low vision aids and low vision rehabilitation therapies that can help.

Medical content revised by - Last revision 23/08/2024

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