There have been previous suggestions in the literature of a link between sc
hizophrenia and retinitis pigmentosa (RP) or its associated syndromes. In t
his article, we describe two cases of schizophrenia and two cases of delusi
onal disorder occurring in patients with RP. We explore possible reasons fo
r an association between RP and schizophrenia including shared genetic pred
isposition, sensory deprivation, coarse brain disease and retinoid dysregul
ation. Awareness of an association may help to direct future research into
the aetiology of these disorders, especially in the areas of neurochemistry
and medical genetics. (C) 1998 Elsevier, Paris.