09/02/2026
👁️ Skippy’s Eye Exam
When 6 year old Skippy came to us for difficulty seeing at night, we had a feeling…
Both of Skippy’s eyes are open and comfortable. His retinal changes are consistent with Progressive Retinal Atrophy (PRA), a degenerative condition that causes the retina to gradually lose function.
The retina contains rods, which are responsible for vision in dim light and at night, and cones, which provide daytime and color vision. With PRA, the rods typically degenerate first, causing night blindness, followed by cone degeneration and progressive loss of vision.
Because of Skippy’s age, a hereditary/genetic cause is suspected. His difficulty seeing in dim or dark environments (nyctalopia) is consistent with these retinal changes.
🔬 What to expect:
There is currently no treatment to stop or reverse PRA. Unfortunately, vision loss typically progresses over time and may eventually result in complete blindness.
🧬 PRA can also lead to secondary changes, such as cataract formation. However, cataract surgery would not restore vision in a patient with significant PRA.
💊 Treatment:
No topical eye medications are needed at this time. Antioxidant supplementation is sometimes recommended, but there is currently limited evidence that it slows PRA progression.
Despite his retinal disease, Skippy’s eyes are currently comfortable and free of inflammation.