It is common for a psychiatrist to treat patients with co-morbid medical conditions. If there are co-existing sensory impairments like deafness or blindness, in the patients with the underlying psychiatric symptoms, then diagnosis and treatment becomes a challenging task. Retinitis pigmentosa (RP) is a progressive degeneration of retinal neuroepithelium which leads to impairment of visual acuity and visual fields ultimately ending in blindness. It is often found to involve other structures,

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... icularly the nervous and endocrine systems. We are presenting a similar case that had RP and later started having symptoms of schizophrenia which was treatment resistant.