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Living with Aniridia-renal agenesis-psychomotor retardation syndrome

An extremely rare syndrome described in two siblings, with a partly missing iris, a missing kidney, and mild developmental delay.

Understanding Aniridia-renal agenesis-psychomotor retardation syndrome

Aniridia-renal agenesis-psychomotor retardation syndrome is an extremely rare syndrome reported in two siblings.

It combines eye differences (a partly missing iris, glaucoma from birth, widely spaced inner eye corners) with a prominent forehead, wide-set eyes, one missing kidney, and mild developmental delay. GARD says there have been no further descriptions in the literature since 1974. It starts in newborns.

Signs & symptoms

Symptoms vary. GARD lists these among the most common:

  • Missing iris (aniridia)
  • One kidney missing (unilateral renal agenesis)
  • Cloudy cornea
  • Widely separated inner eye corners (telecanthus)
  • Early closing of skull bones (craniosynostosis)
  • Crossed eyes (strabismus)

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, eye disease specialists, genetic specialists and kidney specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 National Kidney 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
How should my child's remaining kidney be monitored?
How often should my child's eyes be checked for glaucoma?
Is genetic counseling available for our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD lists autosomal recessive inheritance, so a child inherits a changed copy of a gene from each parent. It doesn't name a gene.

GeneticNeurologicalKidney

Also known as: aniridia partial with unilateral renal agenesis and psychomotor retardation; sommer-rathbun-battles syndrome

Patient organizations

Source: NIH GARD · Aniridia-renal agenesis-psychomotor retardation syndromeGARD ID 690 · 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 Aniridia-renal agenesis-psychomotor retardation syndrome.

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