Adult-Onset Retinitis Pigmentosa: The First Documented Case in Iraq and an Evidence-Based Neuroprotective Therapeutic Strategy

The First Documented Case of Adult-Onset Retinitis Pigmentosa in Iraq: An Evidence-Based Therapeutic Approach presents the first reported Iraqi case of adult-onset retinitis pigmentosa and explores a practical, evidence-based strategy aimed at preserving vision in this progressive inherited retinal disease. Drawing on historical perspectives, modern multimodal retinal imaging, and the latest experimental and clinical research, the book examines the growing role of oxidative stress and mitochondrial dysfunction in disease progression.Integrating current evidence supporting neuroprotective therapies including N-acetylcysteine, citicoline, goji berry, lutein, omega-3 fatty acids, and antioxidant supplementation, the author proposes a rational therapeutic approach for patients with residual photoreceptor function. This work challenges the traditional view that nothing can be offered to patients with retinitis pigmentosa before advanced vision loss occurs. It highlights the potential of early intervention to preserve retinal function and provides clinicians with a scientifically grounded framework for evidence-based management of inherited retinal degeneration.