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Living with Colobomatous microphthalmia-rhizomelic dysplasia syndrome

A rare genetic condition with eye differences, short upper arms and legs, short stature and sometimes learning differences.

Understanding Colobomatous microphthalmia-rhizomelic dysplasia syndrome

Colobomatous microphthalmia-rhizomelic dysplasia syndrome is a rare genetic condition that affects the eyes and limbs and is present from birth.

Eye differences can include very small or missing eyeballs, colobomas and a small cornea. The upper arms and thighs are short on both sides, with short stature and tight large joints. Some have intellectual disability with autistic features, a large head, or early puberty.

Signs & symptoms

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

  • Small eyeballs (microphthalmia) or missing eyeballs
  • Coloboma (notched pupil)
  • Small cornea (microcornea)
  • Short upper arms and thighs (rhizomelia)
  • Large head (macrocephaly)
  • Moderate intellectual disability

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 bone and joint specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MAB21L2 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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 MAB21L2 gene?
What vision services can support our child?
Which specialists should follow growth and development?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive
GenesMAB21L2

Changes in the MAB21L2 gene are listed. It can be inherited in an autosomal dominant or autosomal recessive pattern.

Genetic

Also known as: mcsks; microphthalmia-coloboma-rhizomelic skeletal dysplasia; microphthalmia, syndromic type 14; microphthalmia/coloboma and skeletal dysplasia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Colobomatous microphthalmia-rhizomelic dysplasia syndromeGARD ID 17707 · 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 microphthalmia-rhizomelic dysplasia syndrome.

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