Congenital fibrosis of extraocular muscles

Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.

Start free with Eleplan

Congenital fibrosis of extraocular muscles

ORPHA:45358Disease

Also called FEOM

What it is

A rare syndromic disorder with strabismus characterized by congenital non-progressive ophthalmoplegia affecting the oculomotor and/or trochlear nucleus/nerve and their innervated muscles. Patients present with abnormal resting position of the eyes (in most cases infraducted and exotropic), limitation of vertical and horizontal gaze, impaired binocular vision, amblyopia, unilateral or bilateral blepharoptosis, and compensatory abnormal head posture. Extraocular manifestations include intellectual disability, peripheral neuropathy, and skeletal abnormalities, among others.

Key facts

Prevalence
1-9 / 1 000 000 (Europe)
Age of onset
Neonatal
Inheritance
Autosomal dominant, Autosomal recessive, Not applicable
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Genes

COL25A1Disease-causing germline mutation(s)
KIF21ADisease-causing germline mutation(s)
PHOX2ADisease-causing germline mutation(s)
TUBA1ADisease-causing germline mutation(s)
TUBB2BDisease-causing germline mutation(s)
TUBB3Disease-causing germline mutation(s)

ICD-10 codes

H49.8filed under a broader ICD-10 category — shared with 2 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

GARD 12590MESH C580012MONDO 0007614OMIM 135700OMIM 600638OMIM 602078OMIM 609384OMIM 609428OMIM 609612OMIM 616219UMLS C1302995

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

Powered by Eleplan

A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.

Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.