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Living with Dominant hereditary optic atrophy

An inherited eye condition in which the optic nerves break down, causing vision loss and trouble seeing colors, usually starting in childhood.

Understanding Dominant hereditary optic atrophy

Dominant hereditary optic atrophy is a rare inherited eye disease in which the optic nerves, which carry visual information to the brain, break down.

It usually begins before age 10 and can cause vision loss and problems seeing colors. Vision can range from normal to legal blindness. Some people also have hearing loss, muscle weakness, nerve damage outside the brain and spinal cord, an illness that resembles multiple sclerosis, or problems using their legs.

Signs & symptoms

GARD doesn't list specific symptoms for this condition separately, but the summary describes these features:

  • Vision loss
  • Trouble seeing colors
  • Hearing loss in some people
  • Muscle weakness in some people
  • Nerve damage outside the brain and spinal cord
  • Problems using the legs in some people

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. Ask which tests can help

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

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 Autosomal Dominant Optic Atrophy Association 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
Would genetic testing help our family?
How often should my vision be checked?
What low vision supports can help with school or daily life?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant, Mitochondrial

GARD says changes in a person's genes cause this condition. It can be autosomal dominant (one changed copy is enough) or mitochondrial (passed down through the mother's cells).

GeneticInherited MetabolicMitochondrial

Also known as: adoa; autosomal dominant optic atrophy; doa; optic atrophy, autosomal dominant

Patient organizations

Source: NIH GARD · Dominant hereditary optic atrophyGARD ID 11972 · 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 Dominant hereditary optic atrophy.

Explore the Dominant hereditary optic atrophy blog

Explore research for Dominant hereditary optic atrophy

Explore actively recruiting Dominant hereditary optic atrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dominant hereditary optic atrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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