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Living with Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome

A rare genetic eye condition with an iris coloboma, retinal changes that worsen over time, vision loss and sometimes cataracts.

Understanding Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome

Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome is a rare genetic eye disorder that affects the iris and retina.

People have a gap or notch in the colored part of both eyes (iris coloboma) and retinal changes that worsen over time, with marked vision loss. Some also have cloudy lenses (cataracts) from birth. It starts in infancy or childhood.

Signs & symptoms

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

  • Notch or gap in the iris (coloboma)
  • Cloudy lens from birth (cataract)
  • Reduced clarity of vision
  • Retinal thinning (atrophy)
  • Iris stuck to the lens (posterior synechiae)

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 MIR204 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 Prevent Blindness America
  • 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 MIR204 gene?
How often should my child's eyes and vision be checked?
What options are there for cataracts or vision support?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant
GenesMIR204

Changes in the MIR204 gene cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

Genetic

Also known as: retinal dystrophy and iris coloboma with or without cataract; retinal dystrophy and iris coloboma with or without congenital cataract

Patient organizations

Source: NIH GARD · Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndromeGARD ID 17888 · 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 Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome.

Explore the Familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome blog

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