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ORPHA:828Disease
Also called Hereditary progressive arthroophthalmopathy
What it is
A rare group of genetic connective tissue disorders characterized by ophthalmic, auditory, orofacial and articular manifestations. The two main clinical forms are clinically distinguished by the vitreous phenotype; stickler type 1 by a vestigial vitreous gel in the immediate retrolental space, bordered by a distinct folded membrane, and Stickler type 2 by sparse and irregularly thickened bundles of fibers throughout the vitreous cavity.
Key facts
- Prevalence
- 1-9 / 100 000 (Europe)
- Age of onset
- Antenatal, Childhood, Infancy, Neonatal
- Inheritance
- Autosomal dominant, Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
18- Abnormal form of the vertebral bodies
- Abnormality of epiphysis morphology
- Abnormal vitreous humor morphology
- Arthralgia
- Cataract
- Depressed nasal bridgeDiagnostic criterion
- Epicanthus
- Hypoplasia of the maxilla
- Long philtrum
- Malar flatteningDiagnostic criterion
- MicroretrognathiaDiagnostic criterion
- Midface retrusion
- Myopia
- Retinal detachmentDiagnostic criterion
- Short nose
- Skeletal dysplasia
- Telecanthus
- Visual impairment
Common30–79%
35- Anteverted nares
- Arachnodactyly
- Arrhythmia
- Astigmatism
- Bifid uvulaDiagnostic criterion
- Bone pain
- Chronic otitis media
- Cleft palateDiagnostic criterion
- Cleft upper lip
- Depressed nasal ridge
- Disproportionate tall stature
- Gastroesophageal reflux
- Genu valgum
- Glossoptosis
- Hearing impairment
- High myopia
- Hypotonia
- Joint dislocation
- Joint hypermobility
- Kyphosis
- Lattice retinal degenerationDiagnostic criterion
- Macroglossia
- Membranous vitreous appearance
- Micrognathia
- Mitral valve prolapse
- OsteoarthritisDiagnostic criterion
- Pectus carinatum
- Platyspondyly
- Proptosis
- Proximal femoral epiphysiolysisDiagnostic criterion
- Recurrent respiratory infections
- Retinal holeDiagnostic criterion
- ScoliosisDiagnostic criterion
- Sensorineural hearing impairmentDiagnostic criterion
- SpondylolisthesisDiagnostic criterion
Sometimes5–29%
24- Abnormal diaphysis morphology
- Abnormality of dental enamel
- Advanced eruption of teeth
- Beaded vitreous appearance
- Blindness
- Cachexia
- Developmental cataract
- Ectopia lentis
and 16 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes reported in subtypes
Orphanet records these genes on 3 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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