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Living with Upper limb defect-eye and ear abnormalities syndrome

A rare condition present at birth with a small thumb and hand bones, hearing loss, eye differences, and developmental delay.

Understanding Upper limb defect-eye and ear abnormalities syndrome

Upper limb defect-eye and ear abnormalities syndrome is a rare condition with underdeveloped thumbs, eye and ear differences, and developmental delay.

People have an underdeveloped thumb and hand bones, delayed bone development, hearing loss from the nerve pathway (central hearing loss), a poorly developed outer ear, gaps in the retina area of both eyes (choroid coloboma), and slow growth. It is noticed in the newborn period or infancy.

Signs & symptoms

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

  • Short or underdeveloped thumb
  • Short hand bones
  • Global developmental delay
  • Hearing impairment
  • Gap in the back of the eye (chorioretinal coloboma)
  • Cataract

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 brain and nervous system specialists, 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
Brain and nervous system specialists (neurologists); 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
Would genetic counseling help our family?
Which specialists should check hearing, vision, and hand function?
What therapies could help with development?

Quick facts

Symptoms usually startNewborn and as an Infant
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.

GeneticNeurological

Also known as: thumb, hypoplastic, with choroid coloboma, poorly developed antihelix, and deafness

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Upper limb defect-eye and ear abnormalities syndromeGARD ID 16602 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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