raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:90354

Brittle cornea syndrome

Synonyms: Ehlers-Danlos syndrome type 6B

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, hereditary connective tissue disease characterized by severe ocular manifestations due to extreme corneal thinning and fragility with rupture in the absence of significant trauma, often leading to irreversible blindness. Extraocular manifestations comprise deafness, developmental hip dysplasia, and joint hypermobility.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBrittle cornea syndromeEhlers-Danlos syndrome type 6B
frSyndrome de la cornée fragileSyndrome d'Ehlers-Danlos type 6B
deBrittle-Cornea-SyndromEhlers-Danlos-Syndrom Typ 6B
esSíndrome de córnea frágilSíndrome de Ehlers-Danlos tipo 6B
itSindrome della cornea fragileSindrome di Ehlers-Danlos tipo 6B
nlBrittle cornea-syndroomSyndroom van Ehlers-Danlos type 6B
ptSíndrome da córnea frágilSíndrome Ehlers-Danlos tipo 6B
plZespół kruchej rogówki= en
csSyndrom křehkých rohovek= en
ukСиндром крихкої рогівкиСиндром Елерса-Данлоса, тип 6B
zh脆性角膜综合征
trBrittle kornea sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM229200Evalidated
OMIM614170BTNTvalidated
ICD-10Q79.6NTBTattributedvalidated
ICD-11LD28.1YNTBTindexvalidated
MONDO0009242Evalidated
UMLSC0268344Evalidated
GARD1019Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PRDM5Disease-causing germline mutation(s) inAssessedHGNC:9349ENSG000001387386141614q27PR/SET domain 521664999[PMID]
ZNF469Disease-causing germline mutation(s) inAssessedHGNC:23216ENSG0000022561461207816q24.2zinc finger protein 46919661234[PMID]_20938016[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families65 casesWorldwideCase(s)Validated14679583[PMID]_17122114[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

47 annotations · validated 2026-04-08
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000592Blue scleraeDiagnostic criterion
HP:0001382Joint hypermobilityDiagnostic criterion
Frequent (79-30%)
HP:0001760Abnormal foot morphology
HP:0000483Astigmatism
HP:0000405Conductive hearing impairment
HP:0100583Corneal perforation
HP:0100689Decreased corneal thicknessDiagnostic criterion
HP:0000365Hearing impairment
HP:0011003High myopiaDiagnostic criterion
HP:0000974Hyperextensible skin
HP:0000563KeratoconusDiagnostic criterion
HP:0001119KeratoglobusDiagnostic criterion
HP:0000407Sensorineural hearing impairment
HP:0000977Soft skinDiagnostic criterion
HP:0000572Visual loss
Occasional (29-5%)
HP:0005930Abnormality of epiphysis morphology
HP:0000164Abnormality of the dentition
HP:0001166ArachnodactylyDiagnostic criterion
HP:0000978Bruising susceptibility
HP:0012385Camptodactyly
HP:0030009Cervical insufficiency
HP:0001374Congenital hip dislocation
HP:0200020Corneal erosion
HP:0000559Corneal scarringDiagnostic criterion
HP:0005280Depressed nasal bridge
HP:0010648Dermal translucencyDiagnostic criterion
HP:0012785Flexion contracture of fingerDiagnostic criterion
HP:0008947Floppy infant
HP:0002007Frontal bossing
HP:0000501Glaucoma
HP:0001822Hallux valgusDiagnostic criterion
HP:0100790Hernia
HP:0000218High palate
HP:0001385Hip dysplasia
HP:0000316Hypertelorism
HP:0002659Increased susceptibility to fractures
HP:0001373Joint dislocation
HP:0002751KyphoscoliosisDiagnostic criterion
HP:0001634Mitral valve prolapse
HP:0001319Neonatal hypotonia
HP:0000939Osteoporosis
HP:0001763Pes planusDiagnostic criterion
HP:0001058Poor wound healing
HP:0001788Premature rupture of membranes
HP:0000541Retinal detachment
HP:0002650Scoliosis
Very rare (<4-1%)
HP:0000485Megalocornea

Run the differential on the 2 obligate / very frequent terms

Annotation source: 40647596[PMID]_33739556[PMID]_33739556[PMID]_28306229[PMID]_23642083[PMID]

7

Sources for this card