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Living with Microphthalmia with limb anomalies

A genetic condition (ophthalmo-acromelic syndrome) with missing or small eyes and differences in the hands and feet.

Understanding Microphthalmia with limb anomalies

Microphthalmia with limb anomalies, also called ophthalmo-acromelic syndrome, causes differences in the eyes, hands, and feet that are present from birth.

The eyes are often missing or very underdeveloped (anophthalmia) or small (microphthalmia). The most common hand and foot difference is missing fingers or toes. Fused or extra fingers or toes can also occur. Some people have unusual facial features, a cleft lip with or without a cleft palate, or intellectual disability. Signs are seen during pregnancy or in the newborn period.

Signs & symptoms

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

  • Small eyeballs (microphthalmia) or missing eyeballs
  • Missing fingers or toes
  • Fused or extra fingers or toes
  • Cleft upper lip
  • Differences in the long bones or spine
  • Severe intellectual disability

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 SMOC1 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 SMOC1 gene confirm this diagnosis?
What care is available for the hands, feet, and any cleft lip or palate?
Which specialists should follow my child's eyes and development?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesSMOC1

This condition is caused by changes in the SMOC1 gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: anophthalmia-syndactyly; anophthalmia-syndactyly syndrome; anophthalmia-waardenburg syndrome; anophthalmos with limb anomalies; anophthalmos-limb anomalies syndrome; microphthalmia and limb anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microphthalmia with limb anomaliesGARD ID 722 · 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 Microphthalmia with limb anomalies.

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Explore actively recruiting Microphthalmia with limb anomalies studies with HealthSpark.

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