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Living with Osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome

A rare condition with fragile bones, severe developmental delay, seizures, and eye differences.

Understanding Osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome

Osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome is a rare condition with fragile bones, severe developmental delay, seizures, and eye differences.

Features include extra small bones in the skull sutures (wormian bones), blue whites of the eyes, optic nerve damage, and retinal detachment. Facial features include a prominent forehead and a low hairline. GARD notes no further descriptions in the literature since 1994. 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:

  • Severe global developmental delay
  • Intellectual disability
  • Seizures
  • Repeated fractures
  • Optic nerve damage and other eye differences
  • Extra small bones in the skull (wormian bones)

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 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); 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 can we help protect bones from fractures?
How should seizures and vision be monitored?
Is genetic testing available to look for the cause?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes cause this condition. It doesn't list a specific gene or how it is inherited.

GeneticNeurological

Also known as: al gazali nair syndrome; al gazali-nair syndrome; osteogenesis imperfecta, retinopathy, seizures, intellectual disability syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndromeGARD ID 587 · 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 Osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome.

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