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Living with Glaucoma secondary to spherophakia/ectopia lentis and megalocornea

A rare genetic eye condition with large corneas and a misshapen or shifted lens that can lead to glaucoma.

Understanding Glaucoma secondary to spherophakia/ectopia lentis and megalocornea

Glaucoma secondary to spherophakia/ectopia lentis and megalocornea is a rare genetic eye condition that starts in infancy.

People are born with unusually large corneas (megalocornea), together with a round lens (spherophakia) and/or a lens that has shifted (ectopia lentis). This leads to blocked fluid flow at the pupil and glaucoma. Other features may include nearsightedness, a very deep front chamber of the eye, eye pain and irritation, and a high palate.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary describes these features:

  • Large corneas from birth (megalocornea)
  • Lens that is round or has moved out of place
  • Glaucoma (high eye pressure)
  • Nearsightedness (myopia)
  • Eye pain and irritation
  • High arched palate

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 LTBP2 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
Can genetic testing confirm a change in the LTBP2 gene?
How often should my eye pressure be checked?
Which eye specialist should manage lens and glaucoma care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesLTBP2

Changes in the LTBP2 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: megalocornea-spherophakia-secondary glaucoma syndrome; megalocornea, spherophakia, secondary glaucoma syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Glaucoma secondary to spherophakia/ectopia lentis and megalocorneaGARD ID 10942 · 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 Glaucoma secondary to spherophakia/ectopia lentis and megalocornea.

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