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Living with Nance-Horan syndrome

A rare genetic condition with cataracts and tooth differences from birth, and sometimes other eye and body differences.

Understanding Nance-Horan syndrome

Nance-Horan syndrome is a rare genetic condition with tooth differences and cataracts that lead to poor vision.

It may be seen at birth. Other eye differences are common, including a very small cornea and eye movements that can't be controlled (nystagmus). Some people also have physical differences or intellectual disability. Symptoms can vary greatly, even within a family. Males often have more severe symptoms.

Signs & symptoms

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

  • Cataracts (cloudy lenses)
  • Very small corneas (microcornea)
  • Eye movements that can't be controlled (nystagmus)
  • Crossed eyes (strabismus)
  • Tooth differences, such as extra teeth
  • Vision 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, eye disease specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in NHS 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
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
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 rare disease patient organizations for support
  • 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
Should we have genetic testing for the NHS gene?
How often should my child's eyes be checked?
Which specialists, such as eye and dental, should be on our care team?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked
GenesNHS

It is caused by a change in the NHS gene. It is X-linked dominant, which means both males and females can be affected, but males often have more severe symptoms.

GeneticNeurological

Also known as: nance-horan syndrome, x-linked dominant; nhs

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Nance-Horan syndromeGARD ID 7161 · 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 Nance-Horan syndrome.

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Explore research for Nance-Horan syndrome

Explore actively recruiting Nance-Horan syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Nance-Horan syndrome with HealthSpark. Share your city to explore research near you.

  • 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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