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Living with Late-onset retinal degeneration

An inherited eye condition in adults with trouble seeing in the dark that later leads to loss of central vision.

Understanding Late-onset retinal degeneration

Late-onset retinal degeneration is an inherited retinal condition that starts in adulthood and leads to central vision loss.

It begins with slow adjustment to the dark, night blindness, and deposits under the retina called drusen. In the sixth decade of life, the cone and rod cells break down, causing central vision loss. In late stages, abnormal new blood vessels or glaucoma may occur. It appears in adults and older adults.

Signs & symptoms

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

  • Night blindness
  • Drusen (deposits under the retina)
  • Macular degeneration
  • Central vision loss
  • Abnormal new blood vessels under the retina
  • Reduced sharp vision

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 C1QTNF5 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 Prevent Blindness America
  • 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 for the C1QTNF5 gene confirm the diagnosis?
How often should the retina be checked?
What low-vision supports are available?

Quick facts

Symptoms usually startAdult and as an Older Adult
InheritanceAutosomal Dominant
GenesC1QTNF5

Changes in the C1QTNF5 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough.

Genetic

Also known as: autosomal dominant late-onset retinal degeneration; lord; retinal degeneration, late-onset, autosomal dominant

Patient organizations

Source: NIH GARD · Late-onset retinal degenerationGARD ID 4357 · 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 Late-onset retinal degeneration.

Explore the Late-onset retinal degeneration blog

Explore research for Late-onset retinal degeneration

Explore actively recruiting Late-onset retinal degeneration studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Late-onset retinal degeneration 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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