Retinitis Pigmentosa - Mild Presentation of a Simplex Case

These are fundus images and visual fields from a 58 year old woman who began to notice trouble with night vision and side vision in her 30s. This slowly got worse until she was referred by her general ophthalmologist at age 58. Her visual acuity was 20/30 in each eye. She has bone spiclue pigmentation in the retinal periphery (white arrows). Her arterioles are narrow. Her macula is uninvolved. The visual field show midperipheral field loss in both eyes. Her prognosis is good that she will not become severely handicapped given her late onset of symptoms and slow progression. Retinitis pigmentosa has a wide spectrum of severity.