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Living with Adult-onset chronic progressive external ophthalmoplegia with mitochondrial myopathy

A rare mitochondrial condition starting in adulthood, with weak eye and body muscles, drooping eyelids, and balance problems.

Understanding Adult-onset chronic progressive external ophthalmoplegia with mitochondrial myopathy

Adult-onset chronic progressive external ophthalmoplegia with mitochondrial myopathy is a rare mitochondrial disease that begins in adulthood.

It involves slowly worsening weakness of the eye muscles (progressive external ophthalmoplegia), trouble with exercise, muscle weakness, and balance and speech problems from the cerebellum. It can also cause mild nerve problems in the limbs. Some people have trouble breathing from weak breathing muscles.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Weak eye muscles (progressive external ophthalmoplegia)
  • Drooping of both eyelids (ptosis)
  • Trouble exercising
  • Muscle weakness in the limbs
  • Slurred speech (dysarthria)
  • Trouble swallowing (dysphagia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Mitochondrial Disease Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing available to find the gene involved?
How should my breathing muscles be checked over time?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant, Mitochondrial

GARD says changes in genes cause this condition. It lists autosomal dominant and mitochondrial inheritance, but doesn't name a gene.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: adult-onset cpeo (chronic progressive external ophthalmoplegia) with mitochondrial myopathy; adult-onset cpeo with mitochondrial myopathy

Patient organizations

Source: NIH GARD · Adult-onset chronic progressive external ophthalmoplegia with mitochondrial myopathyGARD ID 17503 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Adult-onset chronic progressive external ophthalmoplegia with mitochondrial myopathy.

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