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Living with Oculo-palato-cerebral syndrome

A rare genetic condition with eye differences, a small head, cleft palate, and intellectual disability.

Understanding Oculo-palato-cerebral syndrome

Oculo-palato-cerebral syndrome is a rare genetic condition with differences of the eyes, palate, and brain.

Features include abnormal eye development, a small head, small hands and feet, and mild to severe intellectual disability. Facial features can include a bulbous nose, full cheeks, and cleft palate. Other symptoms may include shrinking of brain tissue, hearing loss, and eczema. GARD lists onset as during pregnancy, at birth, and as an infant.

Signs & symptoms

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

  • Small eyeballs (microphthalmia)
  • Small head (microcephaly)
  • Cleft palate
  • Cataracts
  • Intellectual disability and delayed development
  • Muscle stiffness (spasticity)

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 bone and joint specialists, brain and nervous system specialists, ear, nose, and throat specialists and eye disease specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists)
Expert care
Expert lists: World Craniofacial Foundation
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 World Craniofacial Foundation and other patient organizations
  • 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
Which eye specialists and how often should my child be seen?
What care is available for the cleft palate and feeding?
Would genetic testing help find the gene involved?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: oculo-palato-cerebral dwarfism; oculopalatocerebral dwarfism; oculopalatocerebral syndrome; opc dwarfism

Patient organizations

Source: NIH GARD · Oculo-palato-cerebral syndromeGARD ID 16606 · 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 Oculo-palato-cerebral syndrome.

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