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Living with Microphthalmia-brain atrophy syndrome

A rare genetic condition with very small eyes, blindness, and loss of brain tissue that leads to seizures and loss of skills.

Understanding Microphthalmia-brain atrophy syndrome

Microphthalmia-brain atrophy syndrome is a rare genetic condition that affects the eyes and causes the brain to break down over time.

Babies are born with very small eyes (microphthalmia) and are blind. They also have a small head. Development is normal for the first 6 to 8 months of life and then declines steadily. Severe intellectual disability, increasing muscle stiffness, and seizures follow. Brain scans show progressive changes, including loss of white matter.

Signs & symptoms

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

  • Very small eyeballs on both sides (microphthalmos)
  • Blindness
  • Smaller-than-average head size (microcephaly)
  • Loss of skills already gained (developmental regression)
  • Muscle stiffness (spasticity)
  • Seizures

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 brain and nervous system specialists, 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
Brain and nervous system specialists (neurologists); 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 genetic testing available to confirm this diagnosis?
What supports exist for vision loss, seizures, and muscle stiffness?
How can we plan for care as development changes?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition, and it is inherited in an autosomal recessive way. This means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: mcops10; microphthalmia and brain atrophy; microphthalmia with brain atrophy syndrome; moba syndrome; syndromic microphthalmia type 10

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microphthalmia-brain atrophy syndromeGARD ID 9292 · 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

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