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Living with Ophthalmoplegia-intellectual disability-lingua scrotalis syndrome

A rare genetic condition with weak eye muscles, intellectual disability, a grooved tongue, and slowly progressive retina changes.

Understanding Ophthalmoplegia-intellectual disability-lingua scrotalis syndrome

Ophthalmoplegia-intellectual disability-lingua scrotalis syndrome is a rare genetic condition with weak eye muscles, a furrowed tongue, and intellectual disability.

It includes weakness of the muscles that move the eyes from birth, a grooved tongue, slowly progressing damage to the retina, and intellectual disability. Droopy eyelids, facial weakness, and nearsightedness may occur. GARD notes no further descriptions in the literature since 1975. GARD lists onset as newborn.

Signs & symptoms

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

  • Weak or paralyzed eye muscles (ophthalmoplegia)
  • Droopy upper eyelids (ptosis)
  • Grooved tongue (lingua scrotalis)
  • Intellectual disability and learning disability
  • Facial weakness
  • Nearsightedness (myopia)

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. Ask which tests can help

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

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
How should my eyes and retina be monitored?
Which supports can help with learning?
Would genetic testing help my family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition. It is inherited in an autosomal dominant way, meaning one changed copy of the gene can be enough.

GeneticNeurological

Also known as: levic-stefanovic-nikolic syndrome; ophthalmoplegia, progressive, with scrotal tongue and mental deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Ophthalmoplegia-intellectual disability-lingua scrotalis syndromeGARD ID 3236 · 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 Ophthalmoplegia-intellectual disability-lingua scrotalis syndrome.

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