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Living with Colobomatous macrophthalmia-microcornea syndrome

A rare genetic eye condition with a small cornea, eye gaps (colobomas), long eyeballs and severe nearsightedness.

Understanding Colobomatous macrophthalmia-microcornea syndrome

Colobomatous macrophthalmia-microcornea syndrome is a rare genetic eye disease that changes the size and shape of the eye.

People can have a small cornea, a gap in the iris or optic disc (coloboma), a longer-than-usual eyeball and severe nearsightedness. Some have higher eye pressure. It can affect one or both eyes, and it varies in how much of the eye is involved. Age at onset varies.

Signs & symptoms

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

  • Nearsightedness (myopia)
  • Small cornea (microcornea)
  • Coloboma of the iris or optic disc
  • Longer front-to-back eyeball
  • Flat cornea
  • Shallow front chamber of the eye

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 CRIM1 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
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 rare disease patient organizations for support
  • 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
Should we have genetic testing for the CRIM1 gene?
How often should eye pressure be checked?
What can help with severe nearsightedness?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesCRIM1

Changes in the CRIM1 gene are listed. It is inherited in an autosomal dominant pattern.

Genetic

Also known as: colobomatous macrophthalmia with microcornea syndrome; macom (macrophthalmia colobomatous with microcornea) syndrome; macom syndrome; macrophthalmia, colobomatous, with microcornea

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Colobomatous macrophthalmia-microcornea syndromeGARD ID 17844 · 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 Colobomatous macrophthalmia-microcornea syndrome.

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