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Living with Bosch-Boonstra-Schaaf optic atrophy syndrome

A rare genetic condition that affects the brain and vision, with developmental delay and intellectual disability.

Understanding Bosch-Boonstra-Schaaf optic atrophy syndrome

Bosch-Boonstra-Schaaf optic atrophy syndrome is a rare hereditary condition that affects the brain and vision.

It starts in newborns. It involves developmental delay and intellectual disability, and vision can be affected by damage to the optic nerve or the brain's visual system. Common features include weak muscle tone, difficulty moving the mouth and tongue, seizures, autism spectrum disorder, and repetitive behaviors.

Signs & symptoms

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

  • Delays in development
  • Intellectual disability
  • Optic nerve damage (optic atrophy)
  • Reduced sharpness of vision
  • Low muscle tone
  • Seizures

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 brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in NR2F1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 NR2F1 Foundation
  • 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 NR2F1 gene testing confirm the diagnosis?
How often should vision be checked?
What therapies help with feeding, speech, and development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesNR2F1

Changes in the NR2F1 gene cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurological

Also known as: bbsoas; bbsoas - bosch boonstra schaaf optic atrophy syndrome; bosch boonstra schaaf optic atrophy syndrome; optic atrophy-intellectual disability syndrome; optic atrophy, intellectual disability syndrome

Patient organizations

Source: NIH GARD · Bosch-Boonstra-Schaaf optic atrophy syndromeGARD ID 12903 · 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 Bosch-Boonstra-Schaaf optic atrophy syndrome.

Explore the Bosch-Boonstra-Schaaf optic atrophy syndrome blog

Explore research for Bosch-Boonstra-Schaaf optic atrophy syndrome

Explore actively recruiting Bosch-Boonstra-Schaaf optic atrophy syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Bosch-Boonstra-Schaaf optic atrophy syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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