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Living with Microphthalmia with brain and digit anomalies

A rare inherited condition with small or missing eyes, other eye differences, and sometimes brain differences or extra fingers.

Understanding Microphthalmia with brain and digit anomalies

Microphthalmia with brain and digit anomalies is a rare inherited condition with small or missing eyes and sometimes brain and finger differences.

People have small or missing eyeballs (microphthalmia or anophthalmia), retinal disease, or nearsightedness. Some also have differences in the brain, and extra fingers (polydactyly) can occur. GARD says it has been described in two families. Signs begin during pregnancy.

Signs & symptoms

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

  • Small eyeballs (microphthalmia)
  • Missing eyeballs (anophthalmia)
  • Gap in the retina layer (chorioretinal coloboma)
  • Gap in the colored part of the eye (iris coloboma)
  • Clouding of the lens (cataract)
  • Small corneas (microcornea)

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. Consider genetic testing

    Changes in BMP4 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); 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 BMP4 gene confirm this diagnosis?
Should my child have brain imaging or a developmental check?
How can we support my child's vision and eye care?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Dominant
GenesBMP4

This condition is caused by changes in the BMP4 gene. It is autosomal dominant, which means a changed copy of the gene from one parent can be enough to cause it.

GeneticNeurological

Also known as: bakrania ragge syndrome; bakrania-ragge syndrome; mcops6; microphthalmia and pituitary anomalies; microphthalmia with brain and digit anomaly; microphthalmia, syndromic 6

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microphthalmia with brain and digit anomaliesGARD ID 3645 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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