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Living with Kearns-Sayre syndrome

A condition affecting many body parts, especially the eyes, with weak eye muscles, drooping eyelids, and retinal changes starting before age 20.

Understanding Kearns-Sayre syndrome

Kearns-Sayre syndrome is a condition that affects many parts of the body, especially the eyes.

Features usually appear before age 20. People have weakness of the eye muscles that limits eye movement and causes drooping eyelids, plus a retina disease (pigmentary retinopathy) that can cause vision loss. They also have at least one of these: heart rhythm (conduction) problems, balance trouble (ataxia), or high protein in the spinal fluid. Others may have muscle weakness, deafness, kidney problems, or short stature. It is a mitochondrial condition.

Signs & symptoms

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

  • Weak eye muscles (progressive external ophthalmoplegia)
  • Drooping upper eyelids
  • Retina disease (pigmentary retinopathy)
  • Heart rhythm problems (heart block)
  • Balance and coordination problems (ataxia)
  • Hearing loss

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, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RRM2B are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Muscular Dystrophy Association, Children's Cardiomyopathy Foundation and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association, Children's Cardiomyopathy Foundation, Epilepsy Foundation
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 Muscular Dystrophy Association 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
Which heart tests, such as an ECG, should I have and how often?
Can genetic testing explain the cause in my case?
Which specialists should be on my team?

Quick facts

Symptoms usually starta variety of ages
InheritanceMitochondrial
GenesRRM2B

Changes in the RRM2B gene are listed. GARD lists mitochondrial inheritance, meaning the changes affect mitochondria, the energy parts of cells.

GeneticNeurologicalEndocrineInherited MetabolicMitochondrial

Also known as: chronic progressive external ophthalmoplegia with myopathy; chronic progressive external ophthalmoplegia with myopathy, somatic; cpeo with myopathy; cpeo with ragged red fibers; kearns sayre syndrome; kearns-sayre mitochondrial cytopathy

Patient organizations

Source: NIH GARD · Kearns-Sayre syndromeGARD ID 6817 · 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 Kearns-Sayre syndrome.

Explore the Kearns-Sayre syndrome blog

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