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Living with Oculofaciocardiodental syndrome

A genetic condition affecting the eyes, face, heart, and teeth, including small eyes, cataracts, and very large tooth roots.

Understanding Oculofaciocardiodental syndrome

Oculofaciocardiodental (OFCD) syndrome is a genetic condition that affects how the eyes, face, heart, and teeth develop.

Many people are born with small eyes, and cataracts and a high risk of glaucoma can lead to vision loss. Faces are often long and narrow, and cleft palate can occur. Heart defects, such as a hole between heart chambers, are common. Teeth with very large roots are typical. Hearing loss and intellectual disability can occur. GARD lists newborn and infant years as the usual onset.

Signs & symptoms

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

  • Small eyeballs (microphthalmia)
  • Cataracts
  • Cleft palate
  • Heart wall differences (septal defects)
  • Teeth that come in late, are missing, or are misaligned
  • Toe differences such as hammertoe

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, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in BCOR 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); Gum, teeth and mouth specialists (odontologists)
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
How often should eye pressure be checked for glaucoma?
Should the heart be checked with an echocardiogram?
Would BCOR genetic testing help my relatives?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesBCOR

Changes in the BCOR gene cause this condition. It is inherited in an X-linked way.

GeneticNeurological

Also known as: bcor-related lenz microphthalmia syndrome; cataract-microphthalmia-radiculomegaly-cardiac septal defect syndrome; mcops2; microphthalmia syndromic 2; microphthalmia, cataract, radiculomegaly and septal heart defect; microphthalmia, syndromic 2

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Oculofaciocardiodental syndromeGARD ID 4628 · 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 Oculofaciocardiodental syndrome.

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