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Living with Autosomal recessive optic atrophy, OPA7 type

A rare inherited eye nerve condition with vision loss starting in childhood.

Understanding Autosomal recessive optic atrophy, OPA7 type

Autosomal recessive optic atrophy, OPA7 type, is a rare inherited condition that damages the optic nerve and causes vision loss.

Vision loss starts early and gets worse over time. It can come with trouble seeing colors, mild hearing loss, nerve damage affecting feeling and movement, and occasionally thickened heart muscle (hypertrophic cardiomyopathy). Onset is listed as childhood.

Signs & symptoms

GARD doesn't list common symptoms. It lists these as less common:

  • Vision loss that gets worse over time (from summary)
  • Hearing loss from the inner ear
  • Shaky eye movements (nystagmus)
  • Eyes that turn inward
  • Thickened heart muscle

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 eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TMEM126A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 United Mitochondrial Disease Foundation and other patient organizations
  • 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
Can genetic testing for the TMEM126A gene confirm the diagnosis?
Should my heart and hearing be checked as well as my eyes?
How often should my vision be tested?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive, Mitochondrial
GenesTMEM126A

It is caused by changes in the TMEM126A gene. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: optic atrophy 7; optic atrophy 7 with or without auditory neuropathy; tmem126a-related optic atrophy with or without extraocular features

Patient organizations

Source: NIH GARD · Autosomal recessive optic atrophy, OPA7 typeGARD ID 17143 · 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 Autosomal recessive optic atrophy, OPA7 type.

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