Schematic of retinal reductase activity in rod photoreceptor cells and retinoid flow to and from the RPE. A single RPE cell is represented above a single photoreceptor cell below. The scheme includes the flow of 11-cis-retinal into the inner segment. At the present time, the signals that regulate the flow of 11-cis-retinal from the retinal pigment epithelium to the rod photoreceptor are not well understood, and no carrier has been identified that would facilitate its migration to the inner segment. The lack of isomeric specificity for RDH12 raises the possibility that the role of the enzyme could include protection against a potential 11-cis-retinal leak as well. 11cRAL, 11-cis-retinal; 11cROL, 11-cis-retinol; AtRAL, all-trans-retinal; AtROL, all-trans-retinol; RCHO, short chain aldehyde; RCHOH, short chain alcohol; Rh, rhodopsin; MRh, metarhodopsin.