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Living with Sengers syndrome

A mitochondrial condition with cataracts from birth, a thickened heart muscle, and muscle weakness.

Understanding Sengers syndrome

Sengers syndrome is a mitochondrial disease marked by cataracts, thickened heart muscle (hypertrophic cardiomyopathy), and muscle problems.

It is also called congenital cataract-hypertrophic cardiomyopathy-mitochondrial myopathy. People have muscle weakness and a buildup of lactic acid after exercise. It begins in the newborn and infant period.

Signs & symptoms

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

  • Cataracts (clouded eye lenses)
  • Thickened heart muscle (hypertrophic cardiomyopathy)
  • Muscle weakness (myopathy)
  • Nearsightedness
  • Crossed eyes
  • Involuntary eye movements (nystagmus)

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. Consider genetic testing

    Changes in AGK are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation, Children's Cardiomyopathy 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: United Mitochondrial Disease Foundation, Children's Cardiomyopathy 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 United Mitochondrial Disease Foundation 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
Should we have genetic testing for the AGK gene?
How often should the heart be checked?
How can exercise and energy levels be managed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial
GenesAGK

It is caused by changes in the AGK gene. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: cardiomyopathy and cataract; congenital cataract-hypertrophic cardiomyopathy-mitochondrial myopathy syndrome; congenital cataract, hypertrophic cardiomyopathy, mitochondrial myopathy syndrome; mitochondrial dna depletion syndrome 10; mitochondrial dna depletion syndrome 10 (cardiomyopathic type)

Patient organizations

Source: NIH GARD · Sengers syndromeGARD ID 1142 · 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 Sengers syndrome.

Explore the Sengers syndrome blog

Explore research for Sengers syndrome

Explore actively recruiting Sengers syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sengers 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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