Types of inherited sight loss

Inherited progressive sight loss is caused by a range of rare genetic conditions. We specialise in those which affect the retina.

The defining features of conditions covered by Retina UK are that:

  • the cause of sight loss is retinal degeneration (cells in any part of the retina, including the macula, deteriorate and die)
  • they have a direct genetic cause (they are caused by mutations in a particular part of a person’s DNA).

The mutations cause failure of a particular structure or function within retinal cells, ultimately leading to degeneration of the cells and subsequent sight loss.

The mutations are almost always inherited from one or both parents, even in situations where both parents have healthy eyesight. In a tiny proportion of cases, the mutation appears for the first time in the affected person and is not carried by either parent.

Genetic retinal conditions usually cause vision problems that start in childhood or early to mid-adulthood.

Vision problems starting later in life (50s or 60s) onwards are less likely to have a direct genetic cause, although this is possible. Most

Retina UK conditions are progressive, becoming gradually worse over time, although a small number are “stationary”; they may be present at birth but do not progress.

Retina UK conditions include:

Retina UK Knowledge-base: Retinitis pigmentosa (RP)

Retinitis pigmentosa

Retinitis pigmentosa (RP) is an inherited eye condition that affects the photoreceptor cells responsible for capturing images from the visual field.

Retina UK Knowledge-base: Cone-rod dystrophy

Cone-rod dystrophy

Cone-rod dystrophies are a group of inherited diseases that affect the photoreceptor (light sensing) cells that are responsible for capturing images from the visual field.

Retina UK Knowledge-base: Stargardt disease

Stargardt disease

Stargardt disease is the most common form of juvenile macular dystrophy (or inherited degeneration).

Retina UK Knowledge-base: Choroideremia

Choroideremia

Choroideremia is a genetic condition that causes progressive vision loss, mostly in males.

Retina UK Knowledge-base: Achromatopsia

Achromatopsia

Achromatopsia is a rare hereditary vision disorder affecting approximately 1 in 30,000 newborn babies.

Retina UK Knowledge-base: Best disease

Best disease

Best disease, also known as Best vitelliform macular dystrophy (BVMD), is is an inherited eye condition associated with progressive degeneration of the macula and is a form of juvenile macular dystrophy.

Plus other rarer conditions such as:

Retina UK Knowledge-base: Pattern dystrophy and Doyne honeycomb dystrophy

Pattern & Doyne honeycomb dystrophy

Pattern dystrophy is an umbrella term for a group of retinal conditions. It is characterized by various patterns of pigment deposition within the macula.

Retina UK Knowledge-base: Gyrate atrophy

Gyrate atrophy of the choroid and retina

Gyrate atrophy of the choroid and retina, shortened to gyrate atrophy, is an inherited disorder of protein metabolism characterised by progressive vision loss.

Retina UK Knowledge-base: X-linked retinoschisis

X-linked retinoschisis (XLRS)

X-linked retinoschisis (XLRS) is an inherited condition that causes early loss of mainly central vision in males.

We also cover some inherited syndromes where one of the symptoms is retinal degeneration; these include:

Retina UK Knowledge-base: Usher syndrome

Usher syndrome

Usher syndrome is an inherited condition that affects both hearing and vision.

Knowledge-base, Bardet-biedl syndrome

Bardet-Biedl syndrome (BBS)

Bardet-Biedl syndrome (BBS) is an inherited condition which impacts many parts of the body including the retina.

Knowledge-base: Alstrom syndrome

Alstrom syndrome

Alstrom syndrome is an inherited condition which affects many body systems.

Retina UK Knowledge-base: Refsum syndrome

Refsum syndrome

Refsum syndrome is an inherited metabolic condition, associated with elevated phytanic acid plasma levels, which impacts many body systems.

Plus other rarer syndromes such as:

In these syndromes, the genetic fault causes problems within other systems in the body, as well as retinal degeneration.
Retina UK Knowledge-base: Rare syndromes

Rare syndromes

Including NARP syndrome, Bassen-Kornzwieg syndrome, Norrie disease and Pseudoxanthoma elasticum (PXE)

Linked conditions

Some people living with inherited sight loss may experience these additional conditions:

Conditions outside of Retina UK’s charitable objectives:

These are conditions that are not directly caused by a genetic fault and are not inherited:

  • Age-related macular degeneration (AMD); this includes wet AMD, dry AMD and geographic atrophy. Support available from the Macular Society. NB Inherited juvenile macular degeneration is within Retina UK’s scope, so please clarify if necessary.
  • Autoimmune retinopathy. In Autoimmune Retinopathy (AIR) the body’s own defence mechanism starts attacking tissues by mistake, in this case the retina, as opposed to in a genetic condition like inherited sight loss which leads to retinal degeneration. Find out more about Autoimmune retinopathy.
  • Central serous retinopathy, also known as Central serous chorioretinaopathy. Support available from the RNIB and Moorfields Eye Hospital
  • Diabetic retinopathy. For support, signpost to Diabetes UK.
  • Leber’s hereditary optic neuropathy (LHON) – this condition does have a genetic cause, however the optic nerve, rather than retina, is primarily affected. For support, signpost to LHON Society.
  • Retinopathy of prematurity (ROP) – occurs as a result of premature birth. Support available from Tommy’s, the pregnancy & baby charity.
  • Retinal vein occlusion – occurs because a blood vessel to the retina becomes blocked.