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Living with Choroideremia-deafness-obesity syndrome

An X-linked condition that affects the eyes, hearing, growth, and learning, mainly in males.

Understanding Choroideremia-deafness-obesity syndrome

Choroideremia-deafness-obesity syndrome is an X-linked retinal dystrophy that causes progressive vision loss along with hearing loss.

In males, night vision problems worsen and lead to central blindness. People also have obesity, moderate intellectual disability, and hearing loss from birth involving both inner and middle ear. Female carriers show typical retina changes. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Loss of retinal tissue (chorioretinal atrophy)
  • Hearing loss in both ears
  • Reduced sharpness of vision
  • Delayed development
  • Slow growth
  • Poor balance when walking (gait ataxia)

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 ear, nose, and throat specialists, eye disease specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in POU3F4 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
Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 POU3F4 genetic testing confirm the diagnosis?
Should female relatives be checked as carriers?
Which specialists should follow vision, hearing, and growth?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesPOU3F4

GARD says changes in the POU3F4 gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticEndocrine

Also known as: ayazi syndrome; choroideremia deafness obesity; choroideremia, obesity, and congenital deafness; chromosome xq21 deletion syndrome; del(x)(q21); monosomy xq21

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Choroideremia-deafness-obesity syndromeGARD ID 369 · 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 Choroideremia-deafness-obesity syndrome.

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