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Living with Bothnia retinal dystrophy

A rare inherited eye condition, mostly seen in Northern Sweden, that starts with night blindness in childhood.

Understanding Bothnia retinal dystrophy

Bothnia retinal dystrophy is a rare inherited retina condition, seen mostly in Northern Sweden.

It begins in early childhood with night blindness and slowly worsening damage to the center of the retina (maculopathy), which lowers sharpness of vision. The visual fields are affected, and sight keeps declining into adulthood. A typical pattern of small white spots (retinitis punctata albescens) is seen in the back of the eye.

Signs & symptoms

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

  • Night blindness
  • Vision that slowly worsens
  • Loss of part of the visual field
  • Changes in color vision
  • Damage to the center of the retina (macular degeneration)
  • Retinal degeneration

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 RLBP1 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 RLBP1 gene testing confirm the diagnosis?
How often should eye exams and visual field tests be done?
What low vision services and supports are available?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesRLBP1

Changes in the RLBP1 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: vasterbotten dystrophy; västerbotten dystrophy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Bothnia retinal dystrophyGARD ID 16734 · 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 Bothnia retinal dystrophy.

Explore the Bothnia retinal dystrophy blog

Explore research for Bothnia retinal dystrophy

Explore actively recruiting Bothnia retinal dystrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Bothnia retinal dystrophy 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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