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Eye Motility Alterations in Retinitis Pigmentosa.

Raffaele Migliorini1, Anna Maria Comberiati1, Giovanni Galeoto1

  • 1Department of Sense Organs, University of Rome "La Sapienza," Via del Policlinico 155, 00161 Rome, Italy.

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Individuals with retinitis pigmentosa (RP) often experience ocular motility (OM) disorders. These OM disorders are linked to a genetic origin, not refractive errors or impaired binocular vision.

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Area of Science:

  • Ophthalmology
  • Genetics
  • Neuroscience

Background:

  • Retinitis pigmentosa (RP) is a group of inherited disorders that affect the retina's structure and function.
  • Ocular motility (OM) disorders can impact visual function and quality of life.

Purpose of the Study:

  • To investigate the prevalence and characteristics of ocular motility (OM) disorders in individuals with retinitis pigmentosa (RP).
  • To determine the potential causes of OM disorders in RP patients, differentiating from refractive errors and binocular vision impairments.

Main Methods:

  • Evaluated 23 individuals (9 female, 14 male) with RP and average visual acuity of 6/10.
  • Assessed ocular motility (OM) using cover tests for vertical deviations and evaluated muscle function (hyperfunction/hypofunction) of specific eye muscles (IO, SO, SR, IR).

Main Results:

  • Significant findings included hyperfunction of the inferior oblique (IO) of the right eye (39.1%) and superior oblique (SO) of the left eye (34.5%).
  • Hypofunction of the superior rectus (SR) in both eyes (30.5%) and inferior rectus (IR) in both eyes (21.7%) were also noted.
  • Vertical deviations (r/l and l/r) were observed in 3.45% and 6.9% of cases, respectively.

Conclusions:

  • Ocular motility (OM) disorders in RP patients are not caused by significant refractive defects or severely impaired binocular vision.
  • The study suggests a genetic origin for the observed ocular motility (OM) disorders in individuals with retinitis pigmentosa (RP).