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Living with Microphthalmia, syndromic 12

A genetic syndrome with small eyes, small lungs, a hole in the diaphragm, and movement problems with delayed development.

Understanding Microphthalmia, syndromic 12

Microphthalmia, syndromic 12 is a genetic syndrome with small eyes, underdeveloped lungs, and a hole in the diaphragm.

Main features are small eyeballs (microphthalmia), lungs that are too small (pulmonary hypoplasia), and a diaphragmatic hernia, which is a hole in the muscle between the chest and belly. People also have progressive movement problems, severe delay in development, and severe feeding problems. Brain differences, such as Chiari type I malformation and hydrocephaly (extra fluid in the brain), can occur.

Signs & symptoms

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

  • Small eyeballs (microphthalmia)
  • Hole in the diaphragm (diaphragmatic hernia)
  • Underdeveloped lungs (pulmonary hypoplasia)
  • Intellectual disability
  • Movement problems such as stiffness or dystonia
  • Severe feeding problems

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, digestive system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RARB 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
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); 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 RARB gene confirm this diagnosis?
Which specialists should care for the lungs, diaphragm, and eyes?
What help is available for feeding and movement problems?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant, Autosomal Recessive
GenesRARB

This syndrome is caused by changes in the RARB gene. It can be autosomal dominant (a changed copy from one parent is enough) or autosomal recessive (a changed copy from each parent).

GeneticNeurologicalGastrointestinal

Also known as: mcops12; microphthalmia with or without pulmonary hypoplasia, diaphragmatic hernia, and/or cardiac defects; microphthalmia, syndromic type 12; rarb syndromic microphthalmia; syndromic microphthalmia caused by mutation in rarb

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microphthalmia, syndromic 12GARD ID 13235 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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