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Living with Retinal macular dystrophy type 2

A rare genetic eye condition that slowly affects the center of the retina and may mildly lower sharp vision.

Understanding Retinal macular dystrophy type 2

Retinal macular dystrophy type 2 is a rare genetic eye condition that slowly affects the macula, the center of the retina.

It causes a slowly worsening bull's-eye pattern in the macula. In most people this brings a mild drop in sharp vision and small blind spots in the center. Usually only the central retina is involved. Rare features include an empty sella turcica, a weaker sense of smell, kidney infections, blood in urine, and repeated miscarriages. It starts in the teen years or adulthood.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary describes these:

  • Bull's-eye pattern in the macula
  • Mild decrease in sharp vision
  • Small blind spots in the center of vision

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 PROM1 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 PROM1 gene?
How often should my macula be checked?
Should I be checked for the rarer features, such as smell or kidney problems?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesPROM1

It is caused by changes in the PROM1 gene. It is autosomal dominant, so one changed copy of the gene can be enough to cause it.

Genetic

Also known as: bull's eye macular dystrophy; macular dystrophy, retinal, type 2; mcdr2; mcdr2 - retinal macular dystrophy type 2

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Retinal macular dystrophy type 2GARD ID 17467 · 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 macular dystrophy type 2.

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Explore actively recruiting Retinal macular dystrophy type 2 studies with HealthSpark.

HealthSpark

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  • 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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