Comprehensive Rehabilitation for Autosomal Dominant Retinitis Pigmentosa: A Case Report.

Abstract

A 62-year-old female with retinitis pigmentosa presented for a low vision rehabilitation evaluation. An updated spectacle prescription, filters, and task lighting were beneficial, but the patient was left with outstanding needs. She noted that she had lost her independence and felt trapped within her own home with nobody around who could fully understand her situation. Genetic testing confirmed autosomal dominant retinitis pigmentosa and provided answers regarding prognosis and family tree considerations. White cane mobility training allowed her to be more independent when traveling. Independent living skills training equipped her to be safer and more autonomous at home. Assistive technology training empowered her to use her digital devices more efficiently to reconnect with friends, family, and the world. A visually impaired clinical counselor helped the patient to work through the process of grieving her vision loss, while involvement in peer support groups allowed her to connect with a new community and recognize future potential. The training and support resources utilized in this case combined to help an individual adapt in response to a challenging diagnosis and prognosis. Such resources should never be overlooked or underestimated in cases of irreversible vision loss.