raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:104

Leber hereditary optic neuropathy

Synonyms: LHON · Leber optic atrophy

Type
Disease
Group
Disorder
Inheritance
Mitochondrial inheritance
Age of onset
Adolescent, Adult
Status
active

A rare hereditary optic neuropathy characterized by sudden onset, painless central vision loss, loss of retinal ganglion cells and optic atrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLeber hereditary optic neuropathyLHON · Leber optic atrophy
frNeuropathie optique héréditaire de LeberAtrophie optique de Leber · LHON
deLeber-Optikusneuropathie, hereditäreLHON · Leber-Optikusatrophie · Optikus-Neuropathie Typ Leber
esNeuropatía óptica hereditaria de LeberAtrofia óptica de Leber · LHON · NOHL
itNeuropatia ottica ereditaria di LeberAtrofia ottica di Leber · LHON
nlHereditaire opticusneuropathie van LeberHereditaire opticusatrofie van Leber · Hereditaire opticusneuropathie van Leber · LHON · LOA · Leber's erfelijke optische neuropathie · Leber's opticusatrofie
ptNeuropatia óptica hereditária de LeberAtrofia óptica tipo Leber · LHON
plDziedziczna neuropatia nerwu wzrokowego LeberaAtrofia nerwu wzrokowego Lebera · LHON
csLeberova hereditární optická neuropatieLHON · Leberova optická atrofie · Dědičná Leberova atrofie
ukСпадкова нейропатія зорового нерва ЛебераАтрофія зорового нерва Лебера · LHON
zhLeber遗传性视神经病leber视神经萎缩
trLeber kalıtsal optik nöropatiLHON · Leber optik atrofisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM308905BTNTvalidated
OMIM535000Evalidated
OMIM619382BTNTvalidated
OMIM620569BTNTvalidated
ICD-10H47.2NTBTattributedvalidated
ICD-118C73.YNTBTindexvalidated
MONDO0010788Evalidated
MeSHD029242Evalidated
UMLSC0917796Evalidated
GARD6870Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

12 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MT-CO1Candidate gene tested inNot yet assessedHGNC:7419ENSG00000198804516030mitochondriamitochondrially encoded cytochrome c oxidase I1322638[PMID]
DNAJC30Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:16410ENSG000001764106182027q11.23DnaJ heat shock protein family (Hsp40) member C3033465056[PMID]
MT-ATP6Disease-causing germline mutation(s) inAssessedHGNC:7414ENSG00000198899516060mitochondriamitochondrially encoded ATP synthase membrane subunit 620301353[PMID]
MT-CO3Disease-causing germline mutation(s) inAssessedHGNC:7422ENSG00000198938516050mitochondriamitochondrially encoded cytochrome c oxidase III20301353[PMID]
MT-CYBDisease-causing germline mutation(s) inAssessedHGNC:7427ENSG00000198727516020mitochondriamitochondrially encoded cytochrome b20301353[PMID]
MT-ND1Disease-causing germline mutation(s) inAssessedHGNC:7455ENSG00000198888516000mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 120301353[PMID]
MT-ND2Disease-causing germline mutation(s) inAssessedHGNC:7456ENSG00000198763516001mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 220301353[PMID]
MT-ND4Disease-causing germline mutation(s) inAssessedHGNC:7459ENSG00000198886516003mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 420301353[PMID]
MT-ND4LDisease-causing germline mutation(s) inAssessedHGNC:7460ENSG00000212907516004mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 4L20301353[PMID]
MT-ND5Disease-causing germline mutation(s) inAssessedHGNC:7461ENSG00000198786516005mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 520301353[PMID]
MT-ND6Disease-causing germline mutation(s) inAssessedHGNC:7462ENSG00000198695516006mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 620301353[PMID]
NDUFS2Disease-causing germline mutation(s) inAssessedHGNC:7708ENSG000001588646029851q23.3NADH:ubiquinone oxidoreductase core subunit S228031252[PMID]
5

Prevalence and incidence

7 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0002.6 / 100 000NetherlandsValue and classValidated16564802[PMID]
Point prevalence1-9 / 100 0004.3 / 100 000WorldwideValue and classValidated[EXPERT]
Point prevalence1-9 / 100 0002.3 / 100 000EuropeValue and classValidated21928272[PMID]
Point prevalence1-9 / 100 0003.22 / 100 000United KingdomValue and classNot yet validated12518276[PMID]
Point prevalence1-9 / 100 0002 / 100 000FinlandValue and classValidated17406640[PMID]
Point prevalence1-9 / 100 0001.9743 / 100 000JapanValue and classValidated35987635[PMID]_ORPHANET
Point prevalence1-9 / 100 0001.85 / 100 000DenmarkValue and classValidated27007794[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

20 annotations · validated 2024-04-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0200125Mitochondrial respiratory chain defects
HP:0007924Slow decrease in visual acuity
Frequent (79-30%)
HP:0000622Blurred vision
HP:0000603Central scotoma
HP:0000576Centrocecal scotoma
HP:0000648Optic atrophy
HP:0000529Progressive visual loss
HP:0007763Retinal telangiectasia
HP:0012841Retinal vascular tortuosity
Occasional (29-5%)
HP:0000512Abnormal electroretinogram
HP:0000649Abnormality of visual evoked potentials
HP:0011675Arrhythmia
HP:0001251Ataxia
HP:0000551Color vision defect
HP:0003198Myopathy
HP:0009830Peripheral neuropathy
HP:0002174Postural tremor
HP:0032036Reduced contrast sensitivity
HP:0020120Retinal nerve fiber edema
HP:0004309Ventricular preexcitation

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20301353[PMID]_36061944[PMID]_20301353[PMID]

7

Sources for this card