Most inherited retinal conditions affect the eyes alone; Usher Syndrome doesn’t. It pairs progressive retinal degeneration with sensorineural hearing loss, and in some forms, balance difficulties rooted in the inner ear — a combination that sets it apart from almost everything else on this list. It splits into three broad clinical types, each with its own hearing-loss severity and its own typical age for retinal symptoms to start.
Because two entirely separate sensory systems are involved, we evaluate hearing, balance, and vision together for patients coming from Kenya, rather than assessing the retina in isolation as if the rest of the picture weren’t relevant.

Associate Professor, Vitreo-Retina Surgeon. 10+ Years Experience

Senior Consultant Ophthalmologist & Eye Surgeon· 26+ yrs experience

Consultant Ophthalmologist & Eye Surgeon, MD, DO .16+ Years Experience
On the retinal side, care follows the same principles used for other rod-cone dystrophies, with stem cell therapy considered for eligible patients as part of that plan. Because hearing is usually managed separately — through hearing aids or cochlear implant evaluation, for example — our retinal plan is built to run alongside whatever audiology care is already underway in Kenya, not replace it.
“Our focus is specifically the retinal side of Usher Syndrome. Hearing management, including any cochlear implant assessment, falls under a separate specialty, and we build our recommendations around whatever audiology care you already have in place or are pursuing.”
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It’s worth asking about, particularly if Type I is suspected, since retinal symptoms in that type can begin showing up from later childhood onward. A baseline eye evaluation early on makes any future change much easier to track.”
“No — there are many possible causes of hearing loss from birth, and Usher Syndrome only explains a portion of them. Genetic testing combined with a retinal ERG is the most reliable way to confirm or rule it out.”
“Type is determined by the severity and pattern of hearing loss, whether balance is affected, and the age retinal symptoms began — ideally confirmed with genetic testing. It shapes the prognosis conversation specifically, though our general approach to retinal evaluation stays fairly consistent across all three types.”
