Command:

This patient presents with complaints of visual difficulties, particularly at night time.

Please examine the patient and address any issues or concerns raised.

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Follow-Up Questions/Answers

Please could you summarise this case for me?

• This young female presented with progressive visual difficulty, mainly at
• Examination revealed reduced visual acuity bilaterally; however, fields were Fundoscopy revealed a waxy pallor of the optic disc and there was pigmentation of the retina in a bone spicule pattern.
• There were no other focal neurological signs and importantly there are no cerebellar signs and there are no features of a peripheral neuropathy. In summary, I think this patient has retinitis pigmentosa.

How is this problem affecting the patient?

• Currently, this is affecting her vision at night, especially when driving.