Purpose. Few studies have investigated the eye and vision dysfunctions of c
hildren with the fragile X syndrome. Case Report, We report on a preschool
boy with bilateral macular dysplasia and fragile X syndrome. His ocular fea
tures and phenotypic and genetic expressions are described. His mentally no
rmal mother was identified as an expansion mutation carrier, and his older
sister has learning disabilities, astigmatic refractive error, squint, and
mild ptosis, Intrauterine infection has been excluded. Conclusion, To our k
nowledge, the association of macular dysplasia with fragile X syndrome has
not been reported. The finding of macular dysplasia might be a coincidental
developmental disorder and not a part of the syndrome. It could be conside
red a condition causing visual deficit with nystagmus in fragile X syndrome
.