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Living with Helicoid peripapillary chorioretinal degeneration

A rare inherited eye condition that slowly damages the back of the eye and can reduce central vision.

Understanding Helicoid peripapillary chorioretinal degeneration

Helicoid peripapillary chorioretinal degeneration is a rare inherited eye condition that slowly thins the retina and the layer beneath it.

It starts at birth or in infancy and affects both eyes. Lesions appear near the optic nerve and in the outer part of the back of the eye. Over time this can lead to loss of central vision. Some people also have a clouding of the lens at the front of the eye (anterior polar cataracts).

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on the summary, the condition can lead to:

  • Gradual loss of central vision
  • Damage to the retina in both eyes
  • Lesions near the optic nerve
  • Clouding of the lens (anterior polar cataract) 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. Consider genetic testing

    Changes in TEAD1 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 rare disease patient organizations for support
  • 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
Could genetic testing for the TEAD1 gene help our family?
How often should the retina and optic nerve be checked?
Which eye specialist has experience with inherited retinal conditions?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesTEAD1

Changes in the TEAD1 gene are linked to this condition. It is autosomal dominant, so one changed copy of the gene can be enough to cause it.

Genetic

Also known as: atrophia areata; helicoidal peripapillary chorioretinal degeneration; peripapillary chorioretinal degeneration, icelandic type; scra; sveinsson chorioretinal atrophy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Helicoid peripapillary chorioretinal degenerationGARD ID 16757 · 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 Helicoid peripapillary chorioretinal degeneration.

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Explore actively recruiting Helicoid peripapillary chorioretinal degeneration studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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