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Living with Autosomal dominant optic atrophy classic form

An inherited eye nerve condition that slowly causes vision loss in both eyes.

Understanding Autosomal dominant optic atrophy classic form

Autosomal dominant optic atrophy classic form is a rare, inherited condition of the eye nerve that causes vision loss in both eyes.

It is one of the most common forms of inherited optic nerve disease. Vision loss gets worse over time and usually begins in the first ten years of life. It can include trouble with color vision and gaps in the field of view.

Signs & symptoms

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

  • Damage to the optic nerve (optic atrophy)
  • Moderately reduced sharpness of vision
  • Abnormal color vision
  • Pale area on the optic nerve (optic disc pallor)
  • Inner ear hearing loss (sensorineural)
  • Nerve damage affecting feeling and movement

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 eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in OPA1 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
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 Autosomal Dominant Optic Atrophy Association 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
Can genetic testing for the OPA1 gene confirm my diagnosis?
How often should my vision and color vision be tested?
Should my hearing and nerves also be checked?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant, Mitochondrial
GenesOPA1

It is caused by changes in the OPA1 gene. GARD lists autosomal dominant and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: autosomal dominant optic atrophy kjer type; autosomal dominant optic atrophy, classic form; autosomal dominant optic atrophy, kjer type; kjer optic atrophy; kjer-type optic atrophy; opa1

Patient organizations

Source: NIH GARD · Autosomal dominant optic atrophy classic formGARD ID 9890 · 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 Autosomal dominant optic atrophy classic form.

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