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Living with Leber congenital amaurosis 2

A severe inherited retinal condition that causes vision loss starting in early childhood.

Understanding Leber congenital amaurosis 2

Leber congenital amaurosis 2 (LCA2) is a severe inherited retinal condition that causes serious vision loss.

It typically shows up between birth and age five. Central vision varies, but vision is very reduced even though the retina can look fairly normal. Vision is relatively stable in the first ten years of life and then begins to decline in adolescence.

Signs & symptoms

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

  • Reduced clarity of vision (reduced visual acuity)
  • Involuntary eye movements (nystagmus)
  • Night blindness (nyctalopia)
  • Narrowed blood vessels in the back of the eye
  • Pale optic nerve disc (optic disc pallor)
  • No measurable light response on an eye test (electroretinogram)

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation Fighting Blindness may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: Foundation Fighting Blindness
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 Foundation Fighting Blindness 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
Can genetic testing confirm a change in the RPE65 gene?
How often should vision be checked as my child grows?
What vision services and supports are available to us?

Quick facts

InheritanceAutosomal Recessive

It is caused by changes in the RPE65 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Also known as: amaurosis congenita of leber ii; lca2; leber congenital amaurosis caused by mutation in rpe65; leber congenital amaurosis type 2; rpe65 leber congenital amaurosis; rpe65-related leber congenital amaurosis

Patient organizations

Source: NIH GARD · Leber congenital amaurosis 2GARD ID 636 · 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 Leber congenital amaurosis 2.

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Explore actively recruiting Leber congenital amaurosis 2 studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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