Laser. I know it sounds crazy, but SDM laser improves electrophysiology, visual fields, night vision, and CME. I will be reporting ~ 40 eyes at the ASRS in San Francisco. Preliminary results published in IOVS Jan 2016. No adverse treatment effects.
Common low vision aids are magnifiers, electronic devices with high visibility and speaking functions (think alarm clocks, telephones, watches, kitchen appliances), large print books, eReaders with scalable text, voice recognition software for computer use.
Hi Amy. The patient is suffering from progressive loss of vision. He has only response to hand shaking or light He can see by any means and no benefit of eye glasses
Acknoledged. Some of the low vision devices that would be useful to him are electronic devices made with audible speaking functions. Clocks, watches, telephones, kitchen appliances, scales. He might not be able to read the digital displays on them, but they will speak out loud the information.
May be this app for smartphones and tablets will be useful for the patient.
Bes regards,
Marianne
Good mornin prof. Marianne Levon Shahsuvaryan ,
my name is Giuseppe Masciopinto,
I send you the video presentation of my free app for smartphones and tablets for blind users for the recognition and the distance of walls, exit doors and obstacles.
There is a possibility that the arterial constriction caused by the Caffeine can cause or get worse this retinitis. I suggest to my patients to avoid taking Caffeine, but I had few of them to take any conclusion.
Genetic testing might help to identify the phenotype of RP. Some are early onset, some are periphereal vs central vision loss, some are x linked with females being carriers only, etc. most all start with night blindness. Stem cell is the latest research taking place. Check out the RP Foundation (new name recently, not sure what).
Crisper for gene splicing, vitamin A, stem cell transplants into the retinal area to reproduce rods and cones, check out utube video from the RP foundation (has a new name Fighting Blindness) brand new video with updates on treatment options. **I was misdiagnosed with NAON for 10 years by several neuro ophthalmologists at the same office. I went to a retina specialist and I have advanced RP not NAON. I told all of them I had a 50% genetic risk of getting it but was assured every visit I didn't have any signs of RP and visual fields remained intact..** No one will take my case to sue because the outcome is the same, it is called "a mistake". My life certainly has changed since new dx 2 months ago.
So, the question is about new available treatments. The gene therapy, etc, are what-ifs in the future. What have they done for you so far to make a difference?
They are doing these studies now with humans and having good success. Check out the Foundation for Fighting Blindness videos on utube. Once I get my genetic tests back in a few weeks, I hope to enroll in some studies. I'm taking supplements, as some work with NAC has shown some good results and vitamin A. I take glutathione liposomal, phosphatidyl choline, Liposomal C, Lion's Mane which I have for years for brain support NOT RP but perhaps my consistent visual fields and improvement in night vision are because of that. No one knows yet.
Luttrull JK. Improved retinal and visual function following subthreshold diode micropulse laser (SDM) for retinitis pigmentosa. Eye (London) Feb 2018 PAP open access https://doi.org/10.1038/s41433-018-0017-3
Laser to slow progression of RP sounds hard to believe. Innovation is always absurd. You might want to have a look at our study on slowing progression of AMD on researchgate: Preprint Prevention of neovascular AMD: Real world efficacy of progra...
If laser can slow AMD with a HR of >13, could it slow RP a bit as well?
In response to public interest after publication of the RP paper, FFB asked us to submit a proposal for a trial. In response to the invitation, we began to design a multicenter RCT of laser for RP. A few weeks later, we got a email that the FFB BOD had reviewed our trial proposal and found it deeply flawed, sighting a number of very specific (and striking!) deficiencies. The problem? We had not finished designing our trial, and had thus not submitted it to them yet.
FFB is a charitably funded VC whose stated goal (FFB CEO, OIS, 2019) is to use the orphan drug approach using RP as a vehicle to find treatment for their real interest, the tremendously larger and more valuable market of AMD. Thus, any other effective treatment would reduce the value of their portfolio. It is the way of the world. It is the way of medicine.
liposomas glutathione and vitamin c liposomal are new to my regime, been taking phosphatidylserine, pycnogenol, D3, CoQ10 for years. My night vision came back with the first 2 supplements mentioned.
I think the closest person who might be able to do SDM for you is in Chicago. Happy to contact him if you're interested, and happy to discuss w you anytime. [email protected]
PBM, supplements, lumiThera (type of light therapy but most do the same thing such as sunsolarled.com ), if gene identified there is a treatment for X linked (can't remember the name), Accupuncture.