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Usher syndrome
Other Resources UpToDate PubMed

Usher syndrome

Contributors: Deepak Sobti MD
Other Resources UpToDate PubMed

Synopsis

Usher syndrome is a rare, autosomal-recessive inherited syndrome of sensorineural hearing loss and progressive vision loss (retinitis pigmentosa) due to mutations in the ADGRV1 (GPR98, VLGR1), CDH23, CLRN1, MYO7A, PCDH15, USH1C, USH1G, or USH2A gene. There are 3 distinct types of Usher syndrome and multiple subtypes. Onset is typically in childhood, with varying degrees of hearing loss. Progressive vision loss begins typically in adolescence. Findings include vestibular dysfunction, night blindness, and constricted visual fields (tunnel vision) due to progressive retinitis pigmentosa that eventually leads to total blindness in the more severe types.

Early intervention includes hearing aids, cochlear implant, early speech therapy, and filtered lenses. Testing of family members can allow for early diagnosis and intervention in families known to carry the traits.

Codes

ICD10CM:
Q89.7 – Multiple congenital malformations, not elsewhere classified

SNOMEDCT:
57838006 – Retinitis pigmentosa-deafness syndrome

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

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Best Tests

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References

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Last Updated:01/25/2022
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Usher syndrome
A medical illustration showing key findings of Usher syndrome : Hearing loss, Night blindness, Vision loss
Clinical image of Usher syndrome - imageId=6773539. Click to open in gallery.  caption: 'Retinitis pigmentosa appearing as pigmentary clumping into a bony spicule formation, with severe attenuation of the retinal vessels.'
Retinitis pigmentosa appearing as pigmentary clumping into a bony spicule formation, with severe attenuation of the retinal vessels.
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