भारत में रेटिनाइटिस पिगमेंटोसा का उपचार, कारण, लक्षण और शीर्ष अस्पताल

का कारण बनता है

Many types of RP are caused by a genetic mutation. Some cases occur sporadically. Vision loss occurs when light-sensitive cells in the retina gradually break down. There are two types of cells in the retina:

• Cones—These cells are found mostly in the center of the retina. Cones are needed for central vision and to see colors.
• Rods—Located mostly away from the center, rods respond to dim light. They provide night and peripheral vision.

In most forms of retinitis pigmentosa, the rods die. Vision, thus, becomes impaired at night. The ability to see things off to the side while looking ahead also decreases. In some forms of RP, the cones are lost. In those cases, central and color vision suffers. Vision loss usually progresses over a period of many years.

जोखिम कारक

जोखिम कारक वह है जो किसी बीमारी या स्थिति के होने की संभावना को बढ़ा देता है।

Risk factors for RP include:

• Family members with RP
• लिंग पुरुष

लक्षण

Loss of vision is usually first noted in childhood or early adulthood. The disease gradually worsens. After a number of years, vision loss may become severe. Symptoms vary, depending on the type of retinal cell that is affected. Both eyes often experience similar vision loss. It should be noted that RP is a slowly progressive disease over many years and that most patients never become completely blind. In fact, even though many people with RP are considered “legally blind,” it is only because they have very constricted fields of vision (poor peripheral vision). Some still maintain excellent central visual acuity. Overall, symptoms may include:

• Night blindness (the most common symptom)
• Eyes take longer to adjust to dim lighting
• Trouble seeing in foggy or rainy weather
• Eyes are slow to make adjustment from bright sun to indoor lighting
• Decreased peripheral vision/visual field narrows, often called “tunnel vision”
• Difficulty seeing colors, especially blue
• Visual loss, partial or complete, usually gradually progressive
• Clumsiness from lack of sight, especially in narrow spaces such as doorways

Blurry vision from cataracts may complicate RP later in the disease.

निदान

Your doctor will ask about your symptoms and medical history, and perform an eye exam. You may be referred to an eye specialist, such as an ophthalmologist.

Vision tests may include:

• Visual field testing—to check peripheral vision, which is how well you see off to your side, rather than directly ahead, without moving your eyes
• Visual acuity—checks how well you can see progressively smaller objects, usually a row of letters or numbers
• Dark adaptometry—tests how your vision adapts to darkness
• Color testing—determines how well you can differentiate colors
• Electroretinogram (ERG)—a test to measure electrical activity in the eye. This test identifies the loss of cell function in the retina and is used to track progression of the disease.

उपचार

There is no effective treatment or cure for retinitis pigmentosa. Treatment aims to help you function with the vision that you have. Your doctor can counsel you about expected patterns of vision loss based on the type of RP you have. Recommendations include:

These may include the following:

• Magnifying glasses
• Electronic magnifiers, which project an enlarged image onto a screen
• Night vision scopes, which enlarge distant objects under conditions of low light
• Lenses for distant vision (eyeglasses or contacts)

Some community organizations offer classes to help people with vision loss adjust and learn how to use vision aids. If you are considered legally blind, you are entitled to many low-vision services at no cost.

रोकथाम

Once RP has been inherited there are no known ways to prevent the disorder from occurring. If you have RP or have a family history of the disorder, you can talk to a genetic counselor when deciding to have children.