raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:67036

Autosomal dominant optic atrophy and cataract

Synonyms: Autosomal dominant optic atrophy type 3 · OPA3, autosomal dominant

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood
Status
active

A form of autosomal dominant optic atrophy characterized by an early and bilateral optic atrophy leading to insidious visual loss of variable severity, followed by a late anterior and/or posterior cortical cataract. Additional features include sensorineural hearing loss and neurological signs such as tremor, extrapyramidal rigidity and absence of deep tendon reflexes. It is caused by mutations in the <i>OPA3</i> gene (19q13.32).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant optic atrophy and cataractAutosomal dominant optic atrophy type 3 · OPA3, autosomal dominant
frSyndrome d'atrophie optique-cataracte autosomique dominanteAtrophie optique type 3 autosomique dominante · OPA3, autosomique dominante
deOptikusatrophie und Katarakt, autosomal-dominante FormOPA3, autosomal-dominante · Optikusatrophie, autosomal-dominante, Typ 3
esAtrofia óptica autosómica dominante y catarataAtrofia óptica autosómica dominante tipo 3 · OPA3 autosómica dominante
itAtrofia ottica e cataratta, autosomica dominanteAtrofia ottica autosomica dominante, tipo 3 · OPA3, autosomica dominante
nlAutosomaal dominante opticusatrofie en cataractAutosomaal dominante atrofie van oogzenuw en cataract · Autosomaal dominante opticusatrofie type 3 · OPA3, autosomaal dominant
ptAtrofia óptica autossómica dominante e catarata
plAutosomalna dominująca atrofia nerwu wzrokowego i zaćmaAutosomalna dominująca atrofia nerwu wzrokowego typu 3 · OPA3, autosomalna dominująca
csAutozomálně dominantní atrofie optiku s kataraktouAutozomálně dominantní atrofie optiku, typ 3 · OPA3, autozomálně dominantní
ukАутосомно-домінантна атрофія зорового нерва та катарактаАутосомно-домінантна атрофія зорового нерва, тип 3 · OPA3, аутосомно-домінантний
zh常染色体显性视神经萎缩伴白内障常染色体显性遗传性视神经萎缩3型
trOtozomal dominant optik atrofi ve kataraktOPA3, otozomal dominant · Otozomal dominant optik atrofi tip 3

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM165300Evalidated
ICD-10H47.2NTBTattributedvalidated
ICD-119C40.8NTBTindexvalidated
MONDO0008133Evalidated
MeSHC537128Evalidated
UMLSC1833809Evalidated
GARD10203Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
OPA3Disease-causing germline mutation(s) inAssessedHGNC:8142ENSG0000012574160658019q13.32outer mitochondrial membrane lipid metabolism regulator OPA315342707[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 familiesWorldwideFamily(ies)Validated22797356[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22797356[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

35 annotations · validated 2017-06-14
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0000505Visual impairment
Very frequent (99-80%)
HP:0000648Optic atrophy
HP:0007663Reduced visual acuity
Frequent (79-30%)
HP:0001284Areflexia
HP:0002522Areflexia of lower limbs
HP:0001251Ataxia
HP:0000518Cataract
HP:0000603Central scotoma
HP:0001272Cerebellar atrophy
HP:0003394Muscle spasm
HP:0000639Nystagmus
HP:0012531Pain
HP:0003401Paresthesia
HP:0010924Posterior cortical cataract
HP:0002174Postural tremor
HP:0003474Somatic sensory dysfunction
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0001172Abnormal thumb morphology
HP:0003438Absent Achilles reflex
HP:0007795Anterior cortical cataract
HP:0010923Anterior subcapsular cataract
HP:0000618Blindness
HP:0007976Cerulean cataract
HP:0009468Deviation of the 2nd finger
HP:0010522Dyslexia
HP:0007076Extrapyramidal muscular rigidity
HP:0001377Limited elbow extension
HP:0006248Limited wrist movement
HP:0001761Pes cavus
HP:0002403Positive Romberg sign
HP:0007787Posterior subcapsular cataract
HP:0000642Red-green dyschromatopsia
HP:0001315Reduced tendon reflexes
HP:0002322Resting tremor
HP:0000552Tritanomaly

Run the differential on the 3 obligate / very frequent terms

Annotation source: 15342707[PMID]_15924081[PMID]_22797356[PMID]

7

Sources for this card