Retinitis pigmentosa (RP), a heterogenous group of inherited retinal disorder causes slow progressive vision loss with no effective treatments available. Mutations in the rhodopsin gene (RHO), account for ∼40% cases of autosomal dominant RP (adRP). In this study, we describe the disease characteristics of the first ever reported mono-allelic copy number variation (CNV) inRHOas a novel cause of adRP. We (1) show advanced retinal degeneration in a male patient (∼age in years, 60s) harboring four transcriptionally active intact copies of rhodopsin, (2) recapitulate the clinical phenotypes using retinal organoids, and (3) assess the utilization of a small molecule, Photoregulin3 (PR3), as a clinically viable strategy to target and modify disease progression in RP patients associated withRHO-CNV. Patient retinal organoids showed outer segment developmental defects (microscopy), increasedRHOmRNA levels (qRT-PCR and bulk RNA-sequencing), along with elevated expression and mislocalization of rhodopsin protein (RHO) within the cell body of rod photoreceptors (western blotting and immunohistochemistry). Lastly, by targeting the upstream regulator ofRHO, NR2E3, we effectively alteredRHOexpression, leading to the partial rescue of RHO protein localization from the soma to the inner/outer segments of rod photoreceptors and providing a proof-of-principle for personalized medicine. Taken together, this study supports the clinical data indicating that adRP due to rhodopsin CNV develops due to a dominant negative gain of function.