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Microphthalmia with limb anomalies, also known as ophthalmo-acromelic syndrome (OAS), is a rare developmental disorder characterized by bilateral microphthalmia or anophthalmia, synostosis, syndactyly, oligodactyly and/or polydactyly.
Features include always present findings: Failure to thrive and Anophthalmia; and very common findings: Foot oligodactyly. 44 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 8 | Toe syndactyly, Finger aplasia, Foot oligodactyly |
SMOC1 function has not been fully characterized.
Microphthalmia with limb anomalies is associated with mutations in the SMOC1 gene on chromosome 14.
Genetic testing for SMOC1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 1 very common feature, 10 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for microphthalmia with limb anomalies.
3 publications have been identified in PubMed for microphthalmia with limb anomalies. Research spans Review / Meta-Analysis (33%), Basic Science / Preclinical (33%), and Epidemiology / Natural History (33%).
Dawood M (2025). [PMID: 40820231](https://pubmed.ncbi.nlm.nih.gov/40820231/). *J Hum Genet*. [Epidemiology / Natural History]
Russo M (2025). [PMID: 40038803](https://pubmed.ncbi.nlm.nih.gov/40038803/). *Ital J Pediatr*. [Review / Meta-Analysis]
Ono M (2024). [PMID: 39510490](https://pubmed.ncbi.nlm.nih.gov/39510490/). *Gene Expr Patterns*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:03 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
3 |
Failure to thrive, Postnatal growth retardation, Growth delay |
Head and neck | 3 | High palate, Cleft palate, Cleft upper lip |
Brain and nerves | 3 | Intellectual disability, Global developmental delay, Depressed nasal bridge |