Two unusual cases of Leber's hereditary optic neuropathy (LHON) are reporte
d. The first case was a man with Charcot-Marie-Tooth (CMT) disease since ch
ildhood, who was affected with LHON (the 14484 mtDNA mutation) at the age o
f 45. He had several relatives with CMT, but none with LHON. A genetic inte
rrelationship between these two diseases could not be excluded. The second
case was affected with LHON (the 11778 mtDNA mutation) in one eye before th
e age of 2 1/2 years and in the other eye at the age of 14. There was no fa
mily history of LHON. The early age of onset and long inter-eye delay were
remarkable.