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Living with Isolated congenital alacrima

A condition present from birth in which the eyes make few or no tears.

Understanding Isolated congenital alacrima

Isolated congenital alacrima is a condition present from birth in which the eyes make too few tears or none at all.

Tear production can range from none to lower than normal. It is present from birth and is seen in newborns and infants. The eyes may be dry and more prone to irritation.

Signs & symptoms

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

  • No tears (alacrima)
  • Corneal inflammation (keratitis)
  • Damage to the cornea's outer layer
  • Drooping upper eyelid
  • Sensitivity to light
  • Pink eye (conjunctivitis)

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.

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
How can we protect the surface of the eye if tears are low?
Which eye tests can measure tear production?
Could genetic testing show how this runs in our family?

Quick facts

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

GARD says changes in genes cause this condition. It can be inherited in an autosomal dominant way (one changed copy is enough) or an autosomal recessive way (a changed copy from each parent).

Genetic

Also known as: nonsyndromic congenital alacrima

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Isolated congenital alacrimaGARD ID 16799 · 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 Isolated congenital alacrima.

Explore the Isolated congenital alacrima blog

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Explore actively recruiting Isolated congenital alacrima studies with HealthSpark.

HealthSpark

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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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