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Living with Cochleosaccular degeneration-cataract syndrome

A very rare inherited condition with hearing loss that worsens over time and cataracts, starting in adulthood.

Understanding Cochleosaccular degeneration-cataract syndrome

Cochleosaccular degeneration-cataract syndrome is marked by hearing loss that gets worse over time and cataracts.

The hearing loss comes from severe degeneration of parts of the inner ear (the cochlea and saccule). It has been reported in two families. GARD lists onset in adulthood.

Signs & symptoms

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

  • Hearing loss that worsens over time
  • Cataract (clouding of the eye lens)
  • Degeneration of the cochlea
  • Poor balance (ataxia)
  • Seizures, less often

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 and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); 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
Which hearing options could help as hearing changes?
How often should my eyes and hearing be checked?
Can genetic counseling help my family?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

GARD says it is passed on in an autosomal dominant way, so one changed copy of a gene can be enough. It doesn't name a gene.

Genetic

Also known as: cochleosaccular degeneration and cataract syndrome; cochleosaccular degeneration with progressive cataract; cochleosaccular degeneration with progressive cataracts

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cochleosaccular degeneration-cataract syndromeGARD ID 9418 · 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 Cochleosaccular degeneration-cataract syndrome.

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