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Syndromic microphthalmia-12 is a rare disease characterized by bilateral small eyeballs (microphthalmia), lungs that are too small (pulmonary hypoplasia), and a defect or hole in the diaphragm that allows the abdominal contents to move into the chest cavity (diaphragmatic hernia). Other symptoms may include: Severe global developmental delay with progressive motor impairment due to spasticity and/or uncontrolled repetitive muscular contractions (dystonia), with or without abnormal quick movements that resemble dancing (chorea), Defects of the cerebellum (Chiari type I malformation) Accumulation of cerebrospinal fluid inside the brain (hydrocephaly), Severe feeding difficulties, Mild facial dysmorphism with broad nasal root and tip, and a very small chin (micrognathia), Severe language delay, Wheelchair-bound. Syndromic microphthalmia-12 is caused by mutations in the RARB gene. There is no specific treatment for this syndrome.
Features include always present findings: Bicornuate uterus, Congenital diaphragmatic hernia, and Intellectual disability; and very common findings: Pulmonary hypoplasia. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 1 | Cleft palate |
RARB function has not been fully characterized.
Microphthalmia, syndromic 12 is caused by mutations in the RARB gene on chromosome 3.
Genetic testing for RARB is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 1 very common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for microphthalmia, syndromic 12.
18 publications have been identified in PubMed for microphthalmia, syndromic 12. Research spans Case Report / Case Series (61%), Epidemiology / Natural History (17%), and Review / Meta-Analysis (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 11 | 61% |
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 7:13 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
1 |
Pulmonary hypoplasia |
Heart and blood vessels | 1 | Ventricular septal defect |
Pregnancy and birth | 1 | Congenital diaphragmatic hernia |
Brain and nerves | 1 | Intellectual disability |
Digestive system | 1 | Intestinal malrotation |
Disease patterns and progression
3 |
17% |
Research summaries | 2 | 11% |
Laboratory research | 1 | 6% |
New treatment approaches | 1 | 6% |
Huang T (2026). [PMID: 41822754](https://pubmed.ncbi.nlm.nih.gov/41822754/). *Frontiers in genetics*. [Basic Science / Preclinical]
Koyanagi Y (2026). [PMID: 41942473](https://pubmed.ncbi.nlm.nih.gov/41942473/). *Human genome variation*. [Case Report / Case Series]
Fan Y (2025). [PMID: 40372223](https://pubmed.ncbi.nlm.nih.gov/40372223/). *Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics*. [Review / Meta-Analysis]
Jiménez Cruz J (2025). [PMID: 40040326](https://pubmed.ncbi.nlm.nih.gov/40040326/). *Acta obstetricia et gynecologica Scandinavica*. [Epidemiology / Natural History]
Major K (2025). [PMID: 40986393](https://pubmed.ncbi.nlm.nih.gov/40986393/). *Orvosi hetilap*. [Epidemiology / Natural History]
Amanallah MR (2025). [PMID: 41573467](https://pubmed.ncbi.nlm.nih.gov/41573467/). *Cureus*. [Case Report / Case Series]
Russo M (2025). [PMID: 40038803](https://pubmed.ncbi.nlm.nih.gov/40038803/). *Italian journal of pediatrics*. [Review / Meta-Analysis]
Armstrong GZ (2025). [PMID: 41066309](https://pubmed.ncbi.nlm.nih.gov/41066309/). *The American journal of case reports*. [Case Report / Case Series]
Hsu CJ (2025). [PMID: 41381659](https://pubmed.ncbi.nlm.nih.gov/41381659/). *Scientific reports*. [Epidemiology / Natural History]
Ay B (2025). [PMID: 40693833](https://pubmed.ncbi.nlm.nih.gov/40693833/). *American journal of medical genetics. Part A*. [Case Report / Case Series]