Retinitis Pigmentosa Flashcards

1
Q

What is Retinitis Pigmentosa (RP)?

A

A genetic eye disease that causes progressive degeneration of the retina, leading to vision loss, particularly in low light.

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2
Q

What are the signs of Retinitis Pigmentosa?

A

Hyperpigmentation in the shape of bony spicules in the periphery, Areas of atrophy, Arteriolar attenuation, Waxy disc pallor, Peripheral vision loss on visual field testing.

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3
Q

What are the symptoms of Retinitis Pigmentosa?

A

Loss of night vision,
Tunnel vision,
Loss of central vision in some cases,
Problems with color vision.

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4
Q

How does Retinitis Pigmentosa affect night vision?

A

It causes difficulty with dark adaptation, leading to night blindness.

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5
Q

What is tunnel vision in Retinitis Pigmentosa?

A

The loss of peripheral vision, making it difficult to see anything outside a narrow field of view.

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6
Q

What is the management plan for Retinitis Pigmentosa?

A

Routine referral to HES for diagnosis confirmation, including genetic testing.

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7
Q

What role does genetic testing play in managing Retinitis Pigmentosa?

A

It helps confirm the diagnosis, determine the disease course, and identify whether gene therapy may be helpful.

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8
Q

How is Retinitis Pigmentosa treated?

A

There is no single treatment, as over 100 genes can cause RP, though some types, like those caused by the RPE65 gene, can be treated.

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9
Q

What is the significance of the RPE65 gene in Retinitis Pigmentosa?

A

RP caused by mutations in the RPE65 gene can be treated with gene therapy.

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10
Q

What does arteriolar attenuation indicate in Retinitis Pigmentosa?

A

It is a sign of retinal degeneration where the retinal blood vessels become narrow and thin.

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11
Q

What is waxy disc pallor in Retinitis Pigmentosa?

A

A pale appearance of the optic disc, which is a sign of retinal degeneration.

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12
Q

How can Retinitis Pigmentosa affect central vision?

A

Some patients may experience a loss of central vision, though it is more common to lose peripheral vision.

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13
Q

Why is color vision affected in Retinitis Pigmentosa?

A

Retinal degeneration can impair the ability to distinguish colors.

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14
Q

What factors influence the progression of Retinitis Pigmentosa?

A

The rate of progression, age of onset, and severity of visual loss are related to the mode of inheritance.

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15
Q

What is the prognosis for Retinitis Pigmentosa?

A

The progression and severity vary depending on genetic factors, but it typically leads to gradual vision loss.

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