Ushers (I, II and III)

Usher Syndrome is the medical term used to describe a partial or total hearing loss from birth and a gradual vision loss from Retinitis Pigmentosa.  Some people with Usher’s also have balance problems.

A person with Usher’s is usually someone who has known they are deaf or hard of hearing from early life.  Later in life, they find out that they have Retinitis Pigmentosa   when their eyesight starts to change and they have trouble with night blindness and “tunnel vision”.  Some people’s vision starts to change when they are children, other people’s vision does not change until much later.  Usher’s affects people differently.

The combination of Retinitis Pigmentosa and hearing loss interact in a complex way that affects communication and mobility.

A person with Usher’s is born with it which means it has genetic component.

There are three main types of Usher’s – Type I, II and III.  For these three types, some dozen or so responsible genes have been identified and research continues in this area.

Ushers Type I

This is the most common form of Usher’s.
There is profound congential deafness.  Retinitis Pigmentosa is usually evident within the first 10 years of life.  The level of vision loss varies over time.

There are balance problems but these do not worsen with age, however they may seem worse as the field of vision reduces.  People with Type I usually use signing as their mode of communication.

Ushers Type II

This is the second most common type.  Their hearing loss ranges from mild to severe.  Retinitis Pigmentosa is evident from late adolescence to late twenties.  There are no balance problems.

The level of hearing and vision loss vary in degree within family members.  The hearing loss is usually not progressive, but is affected by the aging process.

Ushers Type III

Usher’s Type III is extremely rare and not much information is available.  People with Usher’s Type III are born hearing and sighted.  They usually begin to lose their hearing and vision in their 30’s and the loss is often rapid.


Retinitis Pigmentosa is the name given to a genetic eye condition that causes degeneration of the retina.  The retina is the light sensitive tissue inside the eye in which the first stages of “seeing” take place.  The retina slowly degenerates and looses its ability to transmit pictures to the brain, and in advances stages characteristic clumps of pigment appear in the retina hence the term “Retinitis “Pigmentosa”.

The first symptom of Retinitis Pigmentosa is often night blindness and an inability to see in poor lighting conditions.  A narrowing of side vision, which is called tunnel vision also occurs.

In some cases Retinitis Pigmentosa leads to serious vision impairment.  Most people retain some useful vision for many years.