We report a 49-year-old female with bilateral, painless, progressive loss of visual field due to retinitis pigmentosa sine pigmento. The presence of optic atrophy and the lack of classic bone spicule changes in this patient led to the erroneous diagnosis of a progressive optic neuropathy due to neurologic disease. Retinitis pigmentosa should be considered in the differential diagnosis of visual field loss with or without optic atrophy, even in patients lacking typical bone spicule changes in the retina. An electroretinogram may be the diagnostic study of choice in these cases.

Original languageEnglish (US)
Pages (from-to)26-28
Number of pages3
JournalAnnals of Ophthalmology - Glaucoma
Issue number1
StatePublished - Jan 1998

ASJC Scopus subject areas

  • Ophthalmology


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