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Living with Retinal dystrophy with inner retinal dysfunction and ganglion cell anomalies

A rare genetic eye condition causing light sensitivity and slow loss of central vision, while side vision stays.

Understanding Retinal dystrophy with inner retinal dysfunction and ganglion cell anomalies

Retinal dystrophy with inner retinal dysfunction and ganglion cell anomalies is a rare genetic eye condition that slowly affects central vision.

It involves lower sensitivity in the center of the retina and changes to nerve cells and fibers in the eye. People notice sensitivity to light and a slow loss of central vision, while side (peripheral) vision stays. It starts in adulthood.

Signs & symptoms

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

  • Central blind spot (central scotoma)
  • Reduced clarity of vision
  • Extreme sensitivity to light (photophobia)
  • Pale optic disc (optic disc pallor)

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 ITM2B 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 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 ITM2B gene?
How quickly might my central vision change?
What tools could help with reading and daily tasks?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesITM2B

It is caused by changes in the ITM2B gene. It is autosomal dominant, so one changed copy of the gene can be enough to cause it.

Genetic

Also known as: retinal dystrophy with inner nuclear layer and ganglion cell anomalies; retinal dystrophy with inner retinal dysfunction and ganglion cell abnormalities

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Retinal dystrophy with inner retinal dysfunction and ganglion cell anomaliesGARD ID 17640 · 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 Retinal dystrophy with inner retinal dysfunction and ganglion cell anomalies.

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