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Congenital achiasma is a rare, genetic, non-syndromic cranial nerve and nuclear aplasia malformation characterized by the congenital absence of the optic chiasm, resulting from the failure of the optic nerve fibers to cross over and decussate to the contralateral hemisphere, leading to decreased vision, strabismus and congenital nystagmus in infancy.
Estimated prevalence: Unknown (Unknown prevalence).
Data assembled from 2 of 12 sources · Last updated Sep 18, 2026, 6:24 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about congenital achiasma