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Isolated optic nerve hypoplasia

MedGen UID:
322281
Concept ID:
C1833797
Disease or Syndrome
Synonym: Optic nerve hypoplasia, bilateral
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
Gene (location): PAX6 (11p13)
 
Monarch Initiative: MONDO:0008136
OMIM®: 165550
Orphanet: ORPHA137902

Definition

A rare genetic optic nerve disorder characterized by visual impairment or blindness resulting from varying degrees of underdevelopment of the optic nerve or even complete absence of the optic nerve, ganglion cells, and central retinal vessels. It may be unilateral, typically with otherwise normal brain development, or bilateral with accompanying severe and widespread congenital malformations of the central nervous system. [from ORDO]

Clinical features

From HPO
Nystagmus
MedGen UID:
45166
Concept ID:
C0028738
Disease or Syndrome
Rhythmic, involuntary oscillations of one or both eyes related to abnormality in fixation, conjugate gaze, or vestibular mechanisms.
Reduced visual acuity
MedGen UID:
65889
Concept ID:
C0234632
Finding
Diminished clarity of vision.
Persistent hyperplastic primary vitreous
MedGen UID:
120583
Concept ID:
C0266568
Congenital Abnormality
Persistence of the hyaloid artery, which is the embryonic artery that runs from the optic disc to the posterior lens capsule may persist; the site of attachment may form an opacity. The hyaloid artery is a branch of the ophthalmic artery, and usually regresses completely before birth. This features results from a failure of regression of the hyaloid vessel, which supplies the primary vitreous during embryogenesis and normally regresses in the third trimester of pregnancy, leading to a particular form of posterior cataract.
Optic nerve hypoplasia
MedGen UID:
137901
Concept ID:
C0338502
Disease or Syndrome
Underdevelopment of the optic nerve.
Morning glory syndrome
MedGen UID:
767635
Concept ID:
C3554721
Congenital Abnormality
An abnormality of the optic nerve in which the optic nerve is large and funneled and displays a conical excavation of the optic disc. The optic disc appears dysplastic.
Visual impairment
MedGen UID:
777085
Concept ID:
C3665347
Finding
Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery.
Optic nerve aplasia
MedGen UID:
866737
Concept ID:
C4021084
Finding
Congenital absence of the optic nerve.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
Follow this link to review classifications for Isolated optic nerve hypoplasia in Orphanet.

Professional guidelines

PubMed

Di Pasquo E, Kuleva M, Arthuis C, Morganelli G, Ormitti F, Millischer AE, Grevent D, Ville Y, Ghi T, Salomon LJ
Ultrasound Obstet Gynecol 2022 Feb;59(2):153-161. Epub 2022 Jan 18 doi: 10.1002/uog.23759. PMID: 34396620
Borkowski-Tillman T, Garcia-Rodriguez R, Viñals F, Branco M, Kradjen-Haratz K, Ben-Sira L, Lerman-Sagie T, Malinger G
Prenat Diagn 2020 May;40(6):674-680. Epub 2020 Mar 31 doi: 10.1002/pd.5663. PMID: 32037567

Recent clinical studies

Etiology

Brodsky MC, Glasier CM
Arch Ophthalmol 1993 Jan;111(1):66-74. doi: 10.1001/archopht.1993.01090010070029. PMID: 8424727

Diagnosis

Malek Y, Brarou H, Khamaily M, Debbabi Y, Abdellaoui T, Elasri F, Reda K, Oubaaz A
J Fr Ophtalmol 2021 Apr;44(4):604-605. Epub 2020 Dec 30 doi: 10.1016/j.jfo.2020.06.006. PMID: 33388191

Prognosis

Brodsky MC, Glasier CM
Arch Ophthalmol 1993 Jan;111(1):66-74. doi: 10.1001/archopht.1993.01090010070029. PMID: 8424727

Clinical prediction guides

Webb EA, O'Reilly MA, Clayden JD, Seunarine KK, Dale N, Salt A, Clark CA, Dattani MT
PLoS One 2013;8(3):e59048. Epub 2013 Mar 12 doi: 10.1371/journal.pone.0059048. PMID: 23554967Free PMC Article
Brodsky MC, Glasier CM
Arch Ophthalmol 1993 Jan;111(1):66-74. doi: 10.1001/archopht.1993.01090010070029. PMID: 8424727

Supplemental Content

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