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Living with Congenital miosis

A rare eye condition present from birth in which the pupils are very small and do not widen well.

Understanding Congenital miosis

Congenital miosis (congenital microcoria) is a rare eye condition in which the iris does not develop fully, so the pupils stay small.

The muscles that widen the pupil are missing or underdeveloped. Pupils are smaller than 2 millimeters and widen poorly or not at all, even with dilating eye drops. It is often linked with nearsightedness and with glaucoma (high eye pressure that can harm vision) in childhood or early adulthood. It is noticed in newborns and infants.

Signs & symptoms

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

  • Small pupils that do not widen well
  • Nearsightedness (axial myopia)
  • Astigmatism
  • Sensitivity to light (photophobia)
  • Open-angle glaucoma
  • High eye pressure (ocular hypertension)

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. Ask which tests can help

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

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
Is my eye condition on its own or part of a syndrome like Pierson syndrome?
How often should eye pressure be checked for glaucoma?
What can help with light sensitivity and vision?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

When not part of a syndrome, it is caused by a small missing piece of genetic material at chromosome region 13q32. Researchers are still studying which gene there is responsible. It is autosomal dominant, so one changed copy can be enough. It also occurs in Pierson syndrome, caused by changes in the LAMB2 gene.

Genetic

Also known as: chromosome 13q32 deletion syndrome; congenital microcoria; mcor; microcoria, congenital

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital miosisGARD ID 3635 · 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 Congenital miosis.

Explore the Congenital miosis blog

Explore research for Congenital miosis

Explore actively recruiting Congenital miosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital miosis 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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