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Living with Jaw-winking syndrome

A rare condition from birth in which an upper eyelid rises quickly, like a wink, when the jaw moves.

Understanding Jaw-winking syndrome

Jaw-winking syndrome (Marcus Gunn phenomenon) is a rare condition in which the upper eyelid lifts in a quick wink each time the jaw moves.

The wink can be set off by opening the mouth, moving the jaw to the side, chewing, smiling, or sucking. It is usually present at birth and usually affects one eye. It can occur with other eye differences such as strabismus or with vision problems. It is generally sporadic, but family cases have been reported.

Signs & symptoms

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

  • Eyelid winking with jaw movement
  • Drooping of one upper eyelid
  • Eyes that do not line up (strabismus)
  • Lazy eye (amblyopia)
  • Eyes pointing too low (hypotropia)

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 Facial Paralysis & Bell's Palsy Foundation
  • 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 my child's vision and prevent lazy eye?
Does the eyelid drooping need treatment?
Is it likely to run in our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

The exact cause is not known. GARD lists autosomal dominant inheritance, and says it is generally sporadic but family cases have been reported.

Genetic

Also known as: abnormal eyelid innervation syndrome; jaw winking; jaw-blinking; jaw-winking; mandibulo-palpebral synkinesis-ptosis syndrome; marcus gunn jaw winking synkinesis

Patient organizations

Source: NIH GARD · Jaw-winking syndromeGARD ID 6972 · 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 Jaw-winking syndrome.

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

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