Alström Syndrome touches several organ systems at once, and quite often it’s the eyes that give families their first hint something is wrong, well before the syndrome’s other features start to surface. It’s worth contrasting with Bardet-Biedl Syndrome here: where BBS tends to hit rods before cones, Alström Syndrome typically runs in the opposite direction, presenting as a cone-rod dystrophy where central and colour vision are among the earliest functions to be affected.
For families travelling in from Uganda, we treat Alström Syndrome as a whole-body condition from the start — staying in touch with whatever local specialists are already managing its other systemic effects, while keeping our own retinal work-up centred on the cone-rod pattern that makes this condition distinct from other inherited dystrophies.

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
“That’s characteristic of Alström Syndrome specifically — it generally follows a cone-rod course, meaning central and colour vision are affected relatively early, unlike the rod-first pattern more typical of classic retinitis pigmentosa.”
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They’re separate conditions caused by different genes, with some systemic features in common but different retinal patterns — Alström tends to affect central vision earlier through a cone-rod process, while Bardet-Biedl generally follows the rod-first course seen in typical RP. Genetic testing distinguishes between the two.”
” Alström Syndrome can involve hearing, cardiac function, and metabolic health, so keeping up coordination with the specialists managing those areas back in Uganda stays important alongside the retinal care we provide.”
“There isn’t one. Because visual symptoms in this condition tend to appear so early, getting a baseline assessment done sooner rather than later gives us something solid to measure any future changes against.”
