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Living with Anterior segment dysgenesis 4

A rare eye condition with unusually dark, smooth-looking irises, often with glaucoma.

Understanding Anterior segment dysgenesis 4

Anterior segment dysgenesis 4 is a rare condition that affects the eyes, especially the iris.

The irises are unusually dark and lack the usual pattern, so they look smooth. Brown irises look dark chocolate and blue irises look dark slate gray. GARD also lists glaucoma (high pressure in the eye), differences in the teeth, and a differently shaped face among the features.

Signs & symptoms

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

  • Glaucoma (high pressure in the eye)
  • Underdeveloped iris tissue
  • Light-colored irises (iris hypopigmentation)
  • Differences in the teeth
  • Differences in face shape

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 rare disease patient organizations for support
  • 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 often should I be checked for glaucoma?
Should a dentist look at the teeth as well?
Would PITX2 genetic testing help other family members?

Quick facts

InheritanceAutosomal Dominant

GARD says changes in the PITX2 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Also known as: asgd4; irid2; iridogoniodysgenesis caused by mutation in pitx2; iridogoniodysgenesis syndrome; iridogoniodysgenesis, type 2; iris hypoplasia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Anterior segment dysgenesis 4GARD ID 3026 · 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 Anterior segment dysgenesis 4.

Explore the Anterior segment dysgenesis 4 blog

Explore research for Anterior segment dysgenesis 4

Explore actively recruiting Anterior segment dysgenesis 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Anterior segment dysgenesis 4 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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