Second messengers such as cyclic AMP (cAMP) and cyclic GMP (cGMP) relay signals from cell surface receptors to target molecules inside the cell. cGMP is synthesized from GTP by guanylyl cyclases and exerts its actions through cGMP-gated cation channels, cGMP-dependent protein kinases, and cGMP-regulated phosphodiesterases. It is a key regulator in phototransduction in the eye, where it acts directly on cGMP-gated cation channels in rod cells to keep them open in response to light. Mutations impacting cGMP levels can cause retinal diseases like Leber congenital amaurosis and retinitis pigmentosa.