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Living with Uveal coloboma-cleft lip and palate-intellectual disability

A rare genetic condition present at birth with eye differences, often cleft lip or palate, and sometimes hearing loss and learning difficulty.

Understanding Uveal coloboma-cleft lip and palate-intellectual disability

Uveal coloboma-cleft lip and palate-intellectual disability is a rare genetic condition present at birth, with gaps in eye structures.

A coloboma is a gap in part of the eye, usually in both eyes. Some people also have cleft lip, cleft palate, hearing loss, and intellectual disability. Eye involvement varies and can include small eyes, cataracts, and trouble moving the eyes.

Signs & symptoms

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

  • Gap in the iris (iris coloboma)
  • Gap in the back of the eye (chorioretinal coloboma)
  • Unusually small eyes (microphthalmia)
  • Hearing loss from the inner ear
  • Intellectual disability
  • Blood in the urine (hematuria)

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, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in YAP1 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
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 World Craniofacial 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
How will the eye differences affect my child's vision?
Should my child have a hearing test and eye exam?
Would YAP1 genetic testing help our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesYAP1

This condition is caused by changes in the YAP1 gene. A child can get it from one parent with the changed gene (autosomal dominant).

GeneticNeurological

Also known as: coloboma, ocular, with or without hearing impairment, cleft lip/palate, and/or impaired intellectual development

Patient organizations

Source: NIH GARD · Uveal coloboma-cleft lip and palate-intellectual disabilityGARD ID 1440 · 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 Uveal coloboma-cleft lip and palate-intellectual disability.

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