We study how ciliary dysfunction causes disease, with a focus on the retina and the kidney. In photoreceptors, we investigate the connecting cilium and the bulge region at its tip, where outer segment discs form, and how proteins such as lebercilin (LCA5) and PCARE shape this compartment. In close collaboration with the Akhmanova lab (Utrecht University), whose in vitro reconstitution assays reveal how ciliary tip proteins control microtubule growth, we explore how disease variants disturb this process. We also study how impaired autophagy contributes to retinal degeneration. In the kidney, we investigate how ciliary defects drive cyst formation in nephronophthisis and polycystic kidney disease. Our models include patient-derived retinal and kidney organoids, zebrafish and mice.