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Living with Benign concentric annular macular dystrophy

A genetic eye condition that slowly affects the center of the retina and can cause night and side vision loss.

Understanding Benign concentric annular macular dystrophy

Benign concentric annular macular dystrophy is a progressive genetic eye condition affecting the macula, the center of the retina.

It starts with a pale ring near the center of the retina. This is followed by trouble seeing at night (nyctalopia) and loss of side vision, similar to retinitis pigmentosa. The retina has a bull's eye look. It begins in childhood.

Signs & symptoms

GARD describes these vision changes:

  • Trouble seeing at night (nyctalopia)
  • Loss of side (peripheral) vision
  • Pale ring near the center of the retina

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 IMPG1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
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
Can IMPG1 gene testing confirm the diagnosis?
How often should my vision be checked?
Should other family members have eye exams or genetic counseling?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesIMPG1

Changes in the IMPG1 gene cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

Genetic

Also known as: retinitis pigmentosa 91

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Benign concentric annular macular dystrophyGARD ID 9887 · 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 Benign concentric annular macular dystrophy.

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