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WhatIsLCA
LCA Types

LCA Subtypes

There are at least 19 recognized subtypes of LCA, each caused by mutations in a different gene. Understanding your specific subtype is crucial for treatment options and prognosis.

LCA1

GUCY2D

10-20%
Clinical Trial

Early profound vision loss — but with remarkably preserved retinal structure

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LCA2

RPE65

5-10%
Approved Therapy

Profound night blindness from birth

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LCA3

SPATA7

~3%
No Treatment Yet

Severe visual impairment from infancy

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LCA4

AIPL1

1-2%
Clinical Trial

Early profound vision loss — one of the most severe LCA subtypes

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LCA5

LCA5 (Lebercilin)

1-2%
Clinical Trial

Ciliopathy

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LCA6

RPGRIP1

~6%
No Treatment Yet

Initial rapid decline followed by stabilization

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LCA7

CRX

~1%
No Treatment Yet

Extensive clinical heterogeneity (including intrafamilial variability)

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LCA8

CRB1

~10%
Clinical Trial

Thickened, dysplastic retinal appearance with disorganized lamination on OCT

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LCA9

NMNAT1

<1%
No Treatment Yet

Severe macular atrophy (macular coloboma-like lesion)

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LCA10

CEP290

15-20%
Clinical Trial

Most common LCA subtype (15-20%)

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LCA11

IMPDH1

~5%
No Treatment Yet

Autosomal dominant inheritance

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LCA12

RD3

<1%
No Treatment Yet

Very rare

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LCA13

RDH12

~10%
Preclinical

LCA phenotype with significant disease progression in adolescence

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LCA14

LRAT

<1%
No Treatment Yet

Visual cycle defect (similar pathway to RPE65)

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LCA15

TULP1

<1%
No Treatment Yet

Photoreceptor protein transport defect

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LCA16

KCNJ13

<1%
No Treatment Yet

RPE potassium channel dysfunction

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LCA17

GDF6

<1%
No Treatment Yet

Eye developmental gene

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LCA18

PRPH2

<1%
No Treatment Yet

Homozygous PRPH2 mutations cause LCA (AR), heterozygous cause RP7 (AD)

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LCA19

USP45

<1%
No Treatment Yet

Reduced vision in early childhood

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IFT140

IFT140

<1%
No Treatment Yet

No official LCA subtype number — classified as RP80 in OMIM

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IQCB1

IQCB1

<1%
No Treatment Yet

No official LCA subtype number assigned

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CCT2

CCT2

<1%
No Treatment Yet

No official LCA subtype number assigned

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CLUAP1 (IFT38)

CLUAP1 (IFT38)

<1%
No Treatment Yet

No official LCA subtype number assigned — candidate LCA gene

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DTHD1

DTHD1

<1%
No Treatment Yet

No official LCA subtype number assigned

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CABP4

CABP4

<1%
No Treatment Yet

No official LCA subtype number assigned

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OTX2

OTX2

<1%
No Treatment Yet

No official LCA subtype number assigned

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