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Living with Anophthalmia plus syndrome

A very rare syndrome present from birth that mainly affects the eyes, with cleft lip or palate.

Understanding Anophthalmia plus syndrome

Anophthalmia plus syndrome is a very rare syndrome in which several parts of the body form differently, most often the eyes and the lip or palate.

The most common findings are missing eyes (anophthalmia) or very small eyes, and cleft lip and/or cleft palate. Other features can include wide-set eyes, low-set ears, narrow or blocked nasal passages, and a spine opening defect (spina bifida). It is seen during pregnancy and in newborns.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Missing eyeballs (anophthalmia)
  • Cleft palate
  • Cleft of the upper lip
  • Wide-set eyes (hypertelorism)
  • Blocked back opening of the nose (choanal atresia)
  • Ears rotated toward the back of the head

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    American Cleft Palate Craniofacial Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Expert lists: American Cleft Palate Craniofacial Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Cleft Palate Craniofacial Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which specialists should care for the eyes, palate, and breathing?
Could the nasal passages need to be checked for blockage?
Is genetic counseling available even though the gene isn't known?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

GARD says it may be inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent. The genetic cause has not been found yet.

Genetic

Also known as: fryns anophthalmia syndrome; fryns microphthalmia syndrome; microphthalmia with facial clefting

Patient organizations

Source: NIH GARD · Anophthalmia plus syndromeGARD ID 719 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Anophthalmia plus syndrome.

Explore the Anophthalmia plus syndrome blog

Explore research for Anophthalmia plus syndrome

Explore actively recruiting Anophthalmia plus syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Anophthalmia plus syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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