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Living with Congenital cataracts-facial dysmorphism-neuropathy syndrome

A rare genetic condition with cataracts from birth, distinct facial features and nerve damage that affects movement and feeling.

Understanding Congenital cataracts-facial dysmorphism-neuropathy syndrome

Congenital cataracts, facial dysmorphism and neuropathy (CCFDN) is a rare genetic condition that affects the eyes, face and nerves.

Babies have clouded eye lenses and sometimes small eyes or shaky eye movements. Nerve damage causes leg then arm weakness starting in the first years, and numbness and tingling in the teens. Facial features become clearer in adulthood. Some people have balance trouble, mild intellectual disability or episodes of muscle breakdown (rhabdomyolysis).

Signs & symptoms

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

  • Cataracts from birth
  • Small eyes and shaky eye movements
  • Nerve damage with weakness and numbness
  • Delayed standing and walking
  • Curved spine and joint contractures
  • Weak bones (osteoporosis)

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 brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CTDP1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Ataxia Foundation and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation, The Foundation for Peripheral Neuropathy
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 National Ataxia 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
Should we have genetic testing for the CTDP1 gene?
What should we know about muscle breakdown after infections or surgery?
Which therapies can help with mobility and balance?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCTDP1

Changes in the CTDP1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticNeurological

Also known as: cataract, congenital, with facial dysmorphism and neuropathy; ccfdn; ccfdn - congenital cataracts, facial dysmorphism and neuropathy; congenital cataracts, facial dysmorphism and neuropathy; congenital cataracts, facial dysmorphism, and neuropathy

Patient organizations

Source: NIH GARD · Congenital cataracts-facial dysmorphism-neuropathy syndromeGARD ID 16645 · 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 Congenital cataracts-facial dysmorphism-neuropathy syndrome.

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