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Living with Auditory neuropathy-optic atrophy syndrome

A rare mitochondrial condition that causes hearing and vision loss starting in childhood or the teen years.

Understanding Auditory neuropathy-optic atrophy syndrome

Auditory neuropathy-optic atrophy syndrome is a rare mitochondrial condition that affects the hearing nerve and the optic nerve.

People have hearing and vision problems in the first or second decade of life. Psychomotor development is normal. Retinitis pigmentosa has been reported along with it.

Signs & symptoms

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

  • Hearing loss
  • Optic nerve damage (optic atrophy)
  • Vision loss

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. Consider genetic testing

    Changes in FDXR are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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
Which hearing and vision supports are available?
How often should hearing and vision be tested?
Would FDXR testing help my family?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive, Mitochondrial
GenesFDXR

GARD says changes in the FDXR gene cause this condition. It lists autosomal recessive and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: anoa; auditory neuropathy and optic atrophy; auditory neuropathy, optic atrophy syndrome; multiple mitochondrial dysfunctions syndrome 9a

Patient organizations

Source: NIH GARD · Auditory neuropathy-optic atrophy syndromeGARD ID 17983 · 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 Auditory neuropathy-optic atrophy syndrome.

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