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Retinitis Pigmentosa

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Retinitis pigmentosa is a hereditary degenerative disorder which is characterized by bilateral progressive loss of peripheral vision, night blindness, and marked ring-like constriction of visual field.  Fundus examination reveals an atrophic, waxy pallor to the optic disc with marked attenuation of retinal arterials(#22072).  The retina itself shows a characteristic bony spicule-shaped disruption of pigmentation

(#22074).  Histopathologically, this lesion is characterized by migration of macrophages and RPE cells filled with melanin into the retina, especially around blood vessels(#22075).  This is thought to explain the bony spicule pattern of pigmentation seen on fundus examination.  In addition, there is an atrophy of the photoreceptors of the retina as well as the choriocapillaris. 

 

See also (#22850, #22853, #22856) for other slides of retinitis pigmentosa.

 

Clinical #22072 Clinical #22074
22072.jpg (175717 bytes) 22074.jpg (61009 bytes)
Med. Power #22075
22075.jpg (116385 bytes)
 
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