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Living with Gillespie syndrome

A rare condition with eye differences, low muscle tone, balance problems, and mild to moderate intellectual disability.

Understanding Gillespie syndrome

Gillespie syndrome is a disorder with eye differences, weak muscle tone from birth, poor coordination, and intellectual disability.

The colored part of the eye (iris) is underdeveloped, often with part of it missing in both eyes. The pupils are enlarged and do not get smaller in light. This can cause blurry vision, light sensitivity, and quick eye movements (nystagmus). The balance and movement problems come from an underdeveloped cerebellum. Other features can include spine bone differences and heart differences.

Signs & symptoms

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

  • Missing or underdeveloped iris (aniridia)
  • Low muscle tone from birth (hypotonia)
  • Poor balance and coordination (ataxia)
  • Delayed development
  • Intellectual disability
  • Speech differences

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 ITPR1 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
Brain and nervous system specialists (neurologists); 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 Aniridia Foundation International
  • 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
Can genetic testing confirm a change in the ITPR1 gene?
How can eyes and light sensitivity be cared for?
What therapies help with balance, walking, and speech?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive
GenesITPR1

Changes in the ITPR1 gene cause this condition. GARD lists both autosomal dominant and autosomal recessive inheritance.

GeneticNeurological

Also known as: aniridia cerebellar ataxia mental deficiency; aniridia-cerebellar ataxia-intellectual disability syndrome; aniridia, cerebellar ataxia and mental deficiency; aniridia, cerebellar ataxia, and intellectual disability; aniridia, cerebellar ataxia, and mental deficiency; aniridia, cerebellar ataxia, intellectual disability syndrome

Patient organizations

Source: NIH GARD · Gillespie syndromeGARD ID 13 · 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 Gillespie syndrome.

Explore the Gillespie syndrome blog

Explore research for Gillespie syndrome

Explore actively recruiting Gillespie syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Gillespie syndrome 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

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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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