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Living with Isolated microphthalmia 5

A genetic eye condition with small eyes, retinal changes, and trouble seeing at night that usually begins in adulthood.

Understanding Isolated microphthalmia 5

Isolated microphthalmia 5 is a rare genetic eye condition with smaller than usual eyes and retinal changes (also called MRFS syndrome).

Also called microphthalmia-retinitis pigmentosa-foveoschisis-optic disc drusen syndrome. It includes small eyes, retinal damage like retinitis pigmentosa, splitting in the center of the retina (foveoschisis), and deposits on the optic nerve. People are very farsighted. Night vision trouble and reduced vision usually start in adulthood and get worse. Some have acute-angle glaucoma.

Signs & symptoms

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

  • Smaller than usual eyeball (microphthalmia)
  • Less clear vision
  • Night blindness
  • Severe farsightedness
  • Splitting in the center of the retina (foveoschisis)
  • Deposits on the optic nerve (optic disc drusen)

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 MFRP 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 for the MFRP gene confirm the diagnosis?
How should we monitor for glaucoma?
What can help with night vision and low vision?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive
GenesMFRP

Changes in the MFRP gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: isolated microphthalmia caused by mutation in mfrp; isolated microphthalmia type 5; mcop5; mfrp isolated microphthalmia; microphthalmia-retinitis pigmentosa-foveoschisis-optic disc drusen syndrome; microphthalmia-retinitis pigmentosa-foveoschisis-optic disk drusen syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Isolated microphthalmia 5GARD ID 17205 · 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 Isolated microphthalmia 5.

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