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Published on: January 10, 2019
Ocular characteristics of a 6-year-Old boy with molybdenum cofactor deficiency type B
Wenjia Yan1, Li Huang1, Limei Sun1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, 510000, China.
Insights
Molybdenum cofactor deficiency (MoCD) is a rare genetic disorder. This case highlights novel ocular findings in a child with MoCD, emphasizing the importance of ophthalmic exams for early diagnosis.
Area of Science:
- Genetics
- Ophthalmology
- Metabolic disorders
Background:
- Molybdenum cofactor deficiency (MoCD) is a rare, often overlooked genetic disorder.
- Early diagnosis is crucial for managing MoCD and its associated complications.
Observation:
- A 6-year-old boy presented with conjunctival hyperemia and left eye pain.
- He had a history of refractory seizures, global developmental delay, microcephaly, feeding difficulties, aphasia, and spastic quadriplegia.
- Pathogenic MOCS2 mutations confirmed the diagnosis of MoCD.
Findings:
- Detailed ocular manifestations of late-onset MoCD-B included bilateral ectopia lentis and spherophakia.
- Left eye findings included hyperemia, secondary glaucoma, cyclodialysis, and retinal detachment.
Implications:
- Ophthalmic examinations can reveal critical signs for the early diagnosis of MoCD.
- This case expands the understanding of MoCD's ocular manifestations and its clinical spectrum.
Purpose:
To report a rare case of Molybdenum Cofactor Deficiency with novel ocular manifestations.
Observations:
This is a case study of a 6-year-old boy who initially presented with conjunctival hyperemia and ocular pain of the left eye. Medical history revealed refractory convulsion, global developmental delay, microcephaly, feeding difficulties, aphasia, and spastic quadriplegia, as well as pathogenic MOCS2 mutations, indicating the diagnosis of molybdenum cofactor deficiency (MoCD). This case report highlights detailed ocular manifestations of late-onset MoCD-B, ectopia lentis of bilateral eyes, spherophakia, hyperemia, secondary glaucoma, cyclodialysis, and retinal detachment of the left eye, which will help further understanding of MoCD.
Conclusions And Importance:
MoCD as a rare genetic disease is tend to be easily neglected. The ophthalmic examination could provide important evidence for early diagnosis.
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