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Usher Syndrome

Usher syndrome is a rare genetic disease that affects both hearing and vision. It causes deafness or hearing loss and an eye disease called retinitis pigmentosa (RP). Sometimes, it also causes problems with balance.

 

Usher Syndrome Type 1

Genes Associated
MYO7A, USH1C, CDH23, PCDH15, USH1G, CIB2

Inheritance Pattern
Autosomal recessive

Onset

  • Hearing Loss: at birth
  • Retinitis Pigmentosa: early infancy-childhood

Symptoms
The most severe type of Usher syndrome that is associated with profound hearing loss at birth, balance issues, and early onset RP.

  • Management
    Annual Hearing evaluation; individuals may benefit from hearing aids or cochlear implants.
  • Annual ophthalmology and retinal evaluation.
  • Balance rehabilitation if needed.

Usher Syndrome Type 2

Genes Associated
USH2A, ADGRV1, WHRN

Inheritance Pattern
Autosomal recessive

Onset

  • Hearing Loss: Ranges from birth-adulthood
  • Retinitis Pigmentosa: usually around the teenage years

Symptoms
The most common type of Usher syndrome is associated with moderate-severe, non-progressive hearing loss, normal balance, and retinitis pigmentosa.

Management

  • Annual Hearing evaluation; individuals may benefit from hearing aids or cochlear implants.
  • Annual ophthalmology and retinal evaluation.
  • Balance rehabilitation if needed.

Usher Syndrome Type 3 

Genes Associated
CLRN1, HARS1

Inheritance Pattern
Autosomal recessive

Onset

  • Hearing Loss: childhood
  • Retinitis Pigmentosa: usually around the teenage years

Symptoms
Features include progressive hearing loss, progressive loss of balance, and retinitis pigmentosa.

Management

  • Annual Hearing evaluation; individuals may benefit from hearing aids or cochlear implants.
  • Annual ophthalmology and retinal evaluation.
  • Balance rehabilitation if needed.