Skip to content
knowrare
HealthSignal
Your condition community

Living with Fish-eye disease

A rare condition in which the clear front of the eye (cornea) slowly becomes cloudy with small cholesterol deposits.

Understanding Fish-eye disease

Fish-eye disease, also called partial LCAT deficiency, is a disorder that causes the corneas, the clear front surface of the eyes, to slowly become cloudy.

The cloudiness is made of small grayish dots of cholesterol. It usually first appears in the teen years or early adulthood. As it progresses, the cloudiness can get worse and severely affect vision.

Signs & symptoms

GARD lists this among the most common findings:

  • Cloudy corneas (corneal opacity)
  • Small gray cholesterol dots in the cornea
  • Vision loss in advanced cases

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, genetic specialists, hormone specialists and kidney specialists.

  3. Consider genetic testing

    Changes in LCAT 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); Hormone specialists (endocrinologists); Kidney specialists (nephrologists)
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 National Kidney 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 I have genetic testing for the LCAT gene?
How often should my eyes be checked by an eye doctor?
Are there options for severe corneal clouding?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Recessive
GenesLCAT

Changes in the LCAT gene cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticKidneyEndocrineInherited Metabolic

Also known as: alpha-lcat deficiency; dyslipoproteinemic corneal dystrophy; fed; fed - fish-eye disease; fish eye disease; lcata deficiency

Patient organizations

Source: NIH GARD · Fish-eye diseaseGARD ID 6450 · 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 Fish-eye disease.

Explore the Fish-eye disease blog

Explore research for Fish-eye disease

Explore actively recruiting Fish-eye disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Fish-eye disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Fish-eye disease studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Fish-eye disease

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Fish-eye disease

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Fish-eye disease experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.