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Living with Leber plus disease

A very rare inherited form of Leber optic neuropathy that combines vision loss with movement problems.

Understanding Leber plus disease

Leber plus disease is a very rare form of Leber hereditary optic neuropathy (LHON) in which vision loss occurs along with dystonia.

Dystonia means involuntary muscle contractions, tremors, and other uncontrolled movements. Dystonia usually begins in childhood, and vision loss may begin in early adulthood. Other features can include difficulty walking, muscle wasting, scoliosis, and trouble swallowing.

Signs & symptoms

Symptoms vary from person to person. GARD lists these in its summary:

  • Vision loss
  • Dystonia (involuntary muscle contractions)
  • Tremors
  • Difficulty walking
  • Muscle wasting
  • Trouble swallowing (dysphagia)

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, genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    Children's Cardiomyopathy Foundation, United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation, United Mitochondrial Disease Foundation, MitoAction
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 Leber's Hereditary Optic Neuropathy 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 mitochondrial gene change do I or my child have?
Which specialists should manage movement and vision problems?
How could this condition affect other family members?

Quick facts

Symptoms usually starta variety of ages
InheritanceMitochondrial

It is caused by genetic changes in mitochondrial genes, including MT-ND1, MT-ND3, MT-ND4, and MT-ND6. It follows a mitochondrial pattern of inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: lhon plus disease

Patient organizations

Source: NIH GARD · Leber plus diseaseGARD ID 8476 · 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 plus disease.

Explore the Leber plus disease blog

Explore research for Leber plus disease

Explore actively recruiting Leber plus disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Leber plus disease 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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