A review.A Review.In this journal reported on a series of 17 patients with mild or late-onset non-syndromic retinitis pigmentosa attributed to biallelic variants in HGSNAT.The patient, an 85-yr-old female patient of Asian Pakistani descent, initially reported night vision difficulties at age 55, followed by central vision problems at age 65.Significant visual field constriction was noted at age 66.At age 72, she developed late-onset bilateral hearing loss requiring hearing aids, and had a medical history of treated breast carcinoma for which she received treatment.Her parents were first cousins, and she had two unaffected siblings.No other individuals in the family were known to be affected .At her most recent ocular examination aged 84 years, her visionhad deteriorated to hand movement perception in both eyes.Fundus examination revealed optic disk pallor, attenuated retinal vasculature, mid-peripheral pigment spicules and pigmentary mottling, and extensive central and peripheral retinal pigment epithelium atrophy.Optical coherence tomog. (OCT) scans demonstrated marked outer retinal degeneration with no macular edema.Genome sequencing was performed via the Genomics England 100,000 Genomes Project (100kGP) identifying a novel homozygous missense variant in HGSNAT.This case serves to remind us of the possibility of two or more independent disorders co-occurring in the same patient and family, a situation likely to be more common in the presence of consanguinity.Such a finding would have important implications for screening of other family members, and underscores the importance of continuing genomic anal. to consider all possibly pathogenic genotypes, even when a likely mol. diagnosis has been identified.