Why choose Mr Henderson for inherited retinal disease?

One of the UK’s leading retinal gene therapy specialists, Mr Henderson was instrumental in commissioning the NHS RPE65 Luxturna programme at Moorfields and GOSH — the first approved gene therapy for blindness in the UK. He serves as Chief Investigator for the Phase 4 Luxturna study and was Principal Investigator on the world’s first CLN2 ocular gene therapy trial. For families affected by inherited retinal disease, he offers the most advanced therapeutic options available in the UK. Book a consultation with a specialist in London.

Conditions · Inherited Retinal Disease

Inherited Retinal Disease

An inherited retinal disease diagnosis raises profound questions — about your vision, your future, and your family. While many IRDs cannot yet be cured, much can be done: to slow progression, preserve function, access gene therapy where available, and plan ahead with confidence. Mr Henderson is one of the UK’s foremost IRD specialists and a pioneer of RPE65 gene therapy — you will not be left without options.

Inherited retinal dystrophies are a group of genetic conditions causing progressive loss of retinal function. Accurate diagnosis, genetic counselling, and specialist surveillance are the cornerstones of management — and for some conditions, gene therapy is now a reality.

At a Glance
CauseGenetic mutation
ManagementDiagnosis, surveillance, gene therapy
👁
CommonestRetinitis pigmentosa
LocationMoorfields & GOSH
Overview

What Are Inherited Retinal Dystrophies?

Inherited retinal dystrophies (IRDs) are caused by mutations in any of over 300 genes that are essential for the development or function of the photoreceptors and retinal pigment epithelium. They are the leading cause of visual impairment in working-age adults in the UK.

The pattern of visual loss, age of onset, and rate of progression vary enormously depending on the underlying genetic cause. Some conditions primarily affect peripheral vision (rod dystrophies), others affect central vision (cone dystrophies), and many affect both.

“An accurate genetic diagnosis is the foundation of everything — it informs prognosis, guides surveillance, enables genetic counselling for the family, and determines eligibility for emerging gene therapy trials.”

Classic retinitis pigmentosa showing bone spicule pigmentation and attenuated vessels on fundus examination
Retinitis pigmentosa — bone spicule pigmentation and attenuated vessels
Conditions

Common Inherited Retinal Dystrophies

Retinitis Pigmentosa

The most common IRD. Rod photoreceptors are primarily affected, causing progressive night blindness and loss of peripheral visual field, often with preservation of central vision until late stages.

Stargardt Disease

The most common juvenile macular dystrophy, caused by mutations in ABCA4. Affects central vision in the first or second decade of life, with relative sparing of peripheral vision.

Choroideraemia

An X-linked condition causing progressive degeneration of the choroid and retina. Affects males primarily, with night blindness and constricted visual fields progressing to severe visual loss.

Usher Syndrome

Combined retinitis pigmentosa and congenital sensorineural hearing loss. The most common cause of combined deaf-blindness. Several subtypes with different severity profiles.

Leber Congenital Amaurosis

A severe early-onset retinal dystrophy presenting at birth or in infancy. RPE65-related LCA is treatable with licensed gene therapy (Luxturna).

CRB1 Dystrophy

A severe form of early-onset retinal dystrophy with a distinct retinal appearance. Mr Henderson has a specialist research interest in CRB1-related disease at GOSH.

Mr Henderson’s Specialist Role

Paediatric & Adult IRD at GOSH and Moorfields

Mr Henderson holds a joint appointment at Great Ormond Street Hospital and Moorfields Eye Hospital, giving him unique expertise in inherited retinal disease across the full age spectrum — from early-onset conditions presenting in infancy to adult-onset dystrophies.

He is Clinical Lead for Ophthalmology at GOSH and holds an Honorary Associate Professorship at UCL-GOSH Institute of Child Health, where his research focuses on CRB1-related retinal dystrophies and gene therapy. He works closely with the Moorfields Inherited Eye Disease service to ensure patients have access to the most current diagnostic and therapeutic options.

Questions & Answers

Frequently Asked Questions

What to expect

Your Journey from Diagnosis to Long-Term Care

1
Specialist Assessment

Comprehensive electrophysiology, OCT, and genetic testing to confirm your specific condition and understand its trajectory — knowledge that is empowering, not frightening.

2
Gene Therapy Evaluation

Mr Henderson leads the UK’s commissioned RPE65 gene therapy programme. Where gene therapy is appropriate, he will assess your eligibility and discuss what it can realistically achieve.

3
Treatment & Planning

From gene therapy surgery to vision rehabilitation, Mr Henderson coordinates a multidisciplinary plan that maximises your functional vision for as long as possible.

4
Ongoing Monitoring

Regular follow-up tracks disease progression and ensures you benefit from new treatments as they become available. Mr Henderson stays at the forefront of this rapidly evolving field.

Is there any treatment for retinitis pigmentosa?
Currently there is no approved treatment to reverse or halt the progression of most forms of RP. However, gene therapy is licensed for RPE65-related LCA (Luxturna), and numerous clinical trials are underway for other genotypes. Vitamin A supplementation and protection from ultraviolet light may slow progression in some patients. Low vision rehabilitation and orientation and mobility training are important supportive measures.
Should my children be tested if I have an inherited retinal condition?
This depends on the inheritance pattern of your specific condition and the age of your children. Genetic counselling is strongly recommended for all families affected by IRD — it provides a clear explanation of the inheritance risk and guides decisions about genetic testing in family members. Mr Henderson works closely with the Moorfields genetics team to provide this support.
How is an inherited retinal dystrophy diagnosed?
Diagnosis involves a combination of detailed clinical examination, electroretinography (ERG), optical coherence tomography (OCT), fundus autofluorescence imaging, and genetic testing. A panel-based genetic test covering over 300 IRD genes can identify the causative mutation in approximately 60-70% of patients, with whole genome sequencing increasingly used for the remainder.

“After years of uncertainty about my diagnosis, Mr Henderson gave me the clearest picture I’d ever had of what I had and what could be done. He treated me as an intelligent adult, explained the research honestly, and gave me back a sense of control. The gene therapy has genuinely changed my life.”

Private patient — RPE65 gene therapy, Moorfields Eye Hospital

Arrange a Consultation

Mr Henderson personally leads all inherited retinal disease assessments and gene therapy surgery. His expertise in this field is unmatched in the UK.

To arrange an assessment for inherited retinal disease, please contact Alison Anscombe, Mr Henderson’s secretary:

+44 7974 015691  ·  alison.anscombe1@nhs.net

Or use the contact form on this website.

Mr Robert Henderson BSc MBBS MD FRCOphth is a Consultant Vitreoretinal Surgeon at Moorfields Eye Hospital and Great Ormond Street Hospital, and Clinical Lead for Ophthalmology at GOSH. He holds an Honorary Associate Professorship at UCL-GOSH Institute of Child Health.