Visual pigment levels in retinitis pigmentosa.

A broad-field imaging fundus reflectometer was used to determine the levels of visual pigment and their relationship to rod-mediated sensitivity in 3 patients with autosomal dominantly inherited retinitis pigmentosa. In each case the loss of sensitivity could be accounted for wholly by the decreased probability of light absorption by the rod photoreceptors resulting from the decreased levels of rhodopsin they contained. In contrast, in a subject whose night blindness was due to vitamin A deficiency, the large sensitivity loss was accompanied by a relatively small reduction in the rhodopsin level.