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Facial dysmorphism-lens dislocation-anterior segment abnormalities-spontaneous filtering blebs syndrome is a syndromic developmental defect of the eye characterized by dislocated or subluxated crystalline lenses, anterior segment abnormalities, and distinctive facial features such as flat cheeks and a prominent, beaked nose. Affected individuals may develop nontraumatic conjunctival cysts, also referred to as filtering blebs.
Features include always present findings: Lens subluxation, Retrognathia, Downslanted palpebral fissures, and Malar flattening and others; and very common findings: Cataract, Anterior synechiae of the anterior chamber, Shallow anterior chamber, and Arachnodactyly and others. 35 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 5 | Lens subluxation, Cataract, Spontaneous conjunctival filtering bleb |
Head and neck | 3 | High palate, Long face, Facial asymmetry |
Arms and legs | 1 | Short finger |
Muscles | 1 | Iris atrophy |
Bones and joints | 1 | Joint hypermobility |
Heart and blood vessels | 1 | Ocular hypertension |
ASPH encodes aspartate beta-hydroxylase (758 aa). Specifically hydroxylates an Asp or Asn residue in certain epidermal growth factor-like (EGF) domains of a number of proteins Highest expression in Cells Cultured fibroblasts (90.7 TPM) and Adipose Subcutaneous (52.0 TPM).
Facial dysmorphism-lens dislocation-anterior segment abnormalities-spontaneous filtering blebs syndrome is associated with mutations in the ASPH gene on chromosome 8.
The ASPH protein participates in ASPH:Fe2+ hydroxylates an aspartate residue of F9 pathway.
ASPH is classified as a druggable target (Enzyme and Transporter categories) with score 0.8.
Facial dysmorphism-lens dislocation-anterior segment abnormalities-spontaneous filtering blebs syndrome is included in newborn screening programs (Dihydropteridine Reductase Deficiency) in 15 states.
Genetic testing for ASPH is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 11 always present features, 5 very common features, 12 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for facial dysmorphism-lens dislocation-anterior segment abnormalities-spontaneous filtering blebs syndrome.
11 publications have been identified in PubMed for facial dysmorphism-lens dislocation-anterior segment abnormalities-spontaneous filtering blebs syndrome. Research spans Review / Meta-Analysis (27%), Case Report / Case Series (27%), and Basic Science / Preclinical (27%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 3 | 27% |
Patient case studies | 3 | 27% |
Laboratory research | 3 | 27% |
Other research | 1 | 9% |
Disease patterns and progression | 1 | 9% |
Alhemidan A (2026). [PMID: 41994245](https://pubmed.ncbi.nlm.nih.gov/41994245/). *Saudi J Ophthalmol*. [Case Report / Case Series]
Hou CX (2026). [PMID: 41354343](https://pubmed.ncbi.nlm.nih.gov/41354343/). *J Biol Chem*. [Basic Science / Preclinical]
Khouri P (2026). [PMID: 42203680](https://pubmed.ncbi.nlm.nih.gov/42203680/). *Ophthalmic Genet*. [Case Report / Case Series]
Velamala IP (2026). [PMID: 41871893](https://pubmed.ncbi.nlm.nih.gov/41871893/). *Ophthalmic Genet*. [Review / Meta-Analysis]
Guzman JPMD (2025). [PMID: 39674426](https://pubmed.ncbi.nlm.nih.gov/39674426/). *Fish Shellfish Immunol*. [Basic Science / Preclinical]
McClatchey MA (2025). [PMID: 40657977](https://pubmed.ncbi.nlm.nih.gov/40657977/). *Clin Dysmorphol*. [Review / Meta-Analysis]
de Castro D (2025). [PMID: 39378150](https://pubmed.ncbi.nlm.nih.gov/39378150/). *Eur Heart J*. [Other]
Ibarra-Ramírez M (2024). [PMID: 39336711](https://pubmed.ncbi.nlm.nih.gov/39336711/). *Genes (Basel)*. [Review / Meta-Analysis]
Beniwal A (2024). [PMID: 38905471](https://pubmed.ncbi.nlm.nih.gov/38905471/). *Indian J Ophthalmol*. [Case Report / Case Series]
Krishnan A (2024). [PMID: 38839574](https://pubmed.ncbi.nlm.nih.gov/38839574/). *Chemphyschem*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 4:33 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center