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Living with Tukel syndrome

A rare condition present at birth with limited eye movement, droopy eyelids, and missing or joined fingers.

Understanding Tukel syndrome

Tukel syndrome is a rare condition in the group called congenital fibrosis of the extraocular muscles, which limit eye movement from birth.

These conditions cause lifelong weakness of the eye muscles, making it hard to move the eyes up, down, or side to side, and often cause droopy upper eyelids. People often hold their head in an unusual position and turn the head instead of the eyes. In Tukel syndrome, people also have fewer fingers than usual or partly joined fingers on the side away from the thumb.

Signs & symptoms

GARD doesn't list a separate symptom list. The summary describes these features:

  • Limited eye movement
  • Droopy upper eyelids
  • Head held in an unusual position
  • Fewer fingers than usual
  • Partly joined fingers

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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
Which eye specialist should follow my child's eye movement?
Could surgery help with eyelids or head position?
Would genetic counseling help our family?

Quick facts

InheritanceAutosomal Recessive

GARD says this condition is autosomal recessive, so a child inherits a changed copy of a gene from each parent. It doesn't name a specific gene.

Also known as: cfeom-u; fibrosis of extraocular muscles, congenital, 4; fibrosis of extraocular muscles, congenital, with ulnar hand anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Tukel syndromeGARD ID 9814 · 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 Tukel syndrome.

Explore the Tukel syndrome blog

Explore research for Tukel syndrome

Explore actively recruiting Tukel syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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