It is also similar to the phenotype of OPA1 mutations causing autosomal dominant optic neuropathy and deafness, however, in general these mutations cause a more extensive phenotype that includes ptosis, ophthalmoplegia, ataxia, axonal sensory-motor polyneuropathy, mitochondrial myopathy, macrocytic anemia, and hypogonadism [6,14–16]. This evidence concerns the gene OPA1 and macrocytic anemia.