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Living with Axenfeld-Rieger syndrome

An inherited eye condition that affects the front of the eye and can also affect the face, teeth, and other body parts.

Understanding Axenfeld-Rieger syndrome

Axenfeld-Rieger syndrome is mainly an eye disorder that affects the front part of the eye and can also affect other parts of the body.

The iris may be thin or poorly formed, and the pupil can be off-center or there can be extra holes that look like more than one pupil. About half of people develop glaucoma, which raises pressure in the eye and can cause vision loss. Other features can include widely spaced eyes, a flat mid-face, and small or missing teeth. Signs are seen in the newborn period or infancy.

Signs & symptoms

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

  • Thin or poorly formed iris
  • Glaucoma (high eye pressure)
  • Flat mid-face
  • Hearing loss
  • Heart differences
  • Posterior embryotoxon (ring at the cornea's edge)

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 digestive system specialists, eye disease specialists, genetic specialists and hormone 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

    Axenfeld-Rieger Foundation and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Axenfeld-Rieger Foundation, Pituitary Network Association
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 Axenfeld-Rieger 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
Can genetic testing find the gene involved?
How often should eye pressure be checked for glaucoma?
Should dental, heart, and hearing checks be part of my care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is autosomal dominant, so a change in one copy of a gene can cause it.

GeneticEndocrineGastrointestinal

Also known as: anomaly, rieger's; ars; axenfeld syndrome; axenfeldt-rieger syndrome; rgs - rieger syndrome; rieger syndrome

Patient organizations

Source: NIH GARD · Axenfeld-Rieger syndromeGARD ID 5701 · 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 Axenfeld-Rieger syndrome.

Explore the Axenfeld-Rieger syndrome blog

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Explore actively recruiting Axenfeld-Rieger syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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