This 57 year old woman has had poorer night vision than her friends for her entire life. At age 51, her worsening night vision caused her to seek medical attention. She has always been correctable to 20/20 OU.

The clinical features supporting the diagnosis of autosomal dominant retinitis pigmentosa in this patient include: night blindness as her earliest symptom; an inferior sector of bone-spicule-like pigmentation and narrowed arterioles on fundus examination; a striking symmetrical superior visual field loss; loss of outer retinal structures on OCT; and, 2 similarly affected aunts, a brother and grandmother.