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Living with Progressive bifocal chorioretinal atrophy

An inherited eye condition with wasting in the center of the retina, shaky eye movements, nearsightedness and poor vision that worsens slowly.

Understanding Progressive bifocal chorioretinal atrophy

Progressive bifocal chorioretinal atrophy (PBCRA) is an inherited eye condition with a large wasted area of the macula and lesions in the nasal part of the retina.

Other features include fast, uncontrollable eye movements (nystagmus), nearsightedness (myopia) and poor vision. It begins at birth or in infancy and progresses slowly. Rod and cone cells, which sense light, are affected throughout the retina.

Signs & symptoms

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

  • Poor vision
  • Wasting of the macula (center of the retina)
  • Nearsightedness
  • Fast, uncontrollable eye movements (nystagmus)
  • Inward-turning eyes
  • Retinal changes near the nose side

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. Ask which tests can help

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

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 Macular Degeneration Foundation
  • 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
How often should my eyes be checked, and how fast is vision likely to change?
Would genetic testing help our family?
Which low-vision supports are available?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says it is caused by changes in a gene located in a region on chromosome 6q, close to the MCDR1 locus. It is autosomal dominant, meaning one changed copy of the gene is enough.

Genetic

Also known as: crapb; pbcra

Patient organizations

Source: NIH GARD · Progressive bifocal chorioretinal atrophyGARD ID 10123 · 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 Progressive bifocal chorioretinal atrophy.

Explore the Progressive bifocal chorioretinal atrophy blog

Explore research for Progressive bifocal chorioretinal atrophy

Explore actively recruiting Progressive bifocal chorioretinal atrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Progressive bifocal chorioretinal atrophy 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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