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TUBB3 Gene Fibrosis of Extraocular Muscles, Congenital Type 3a NGS Genetic Test

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TUBB3 Gene Fibrosis of Extraocular Muscles, Congenital Type 3a NGS Genetic Test

Short Name: TUBB3 CFEOM3A NGS

Also known as: TUBB3-Related CFEOM3A, Congenital Fibrosis of Extraocular Muscles Type 3a, TUBB3 Gene Sequencing

TUBB3 Gene Fibrosis of Extraocular Muscles, Congenital Type 3a NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS) on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports are issued within 3 to 4 weeks from the date of sample receipt at the laboratory. Delays may occur if additional confirmatory Sanger sequencing is required.. Free home collection in 300+ cities across India.

NGS Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to detect pathogenic variants in the TUBB3 gene that are associated with congenital fibrosis of extraocular muscles type 3a. The test is intended for individuals with clinical features suggestive of CFEOM3A, for confirmation of diagnosis, and for reproductive risk assessment in affected families.

Test Code
3822
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports are issued within 3 to 4 weeks from the date of sample receipt at the laboratory. Delays may occur if additional confirmatory Sanger sequencing is required.
Fasting Required
No
Method
Next-Generation Sequencing (NGS)
Step 1

Sample Collection

No special preparation is required. The patient may eat and drink normally. Please bring any previous ophthalmic reports, family history information, and prescription details to the genetic counseling session.

Method: Peripheral blood draw / FTA card spot / extracted DNA submission

Step 2

Laboratory Analysis

Blood will be collected by a trained phlebotomist using a sterile needle. For FTA card collection, a single drop of blood from a finger prick is applied to the card. The procedure is quick and relatively painless.

Step 3

Report Delivery

There are no specific post-collection precautions. The patient can resume normal activities immediately. If you experience persistent bleeding or discomfort at the venipuncture site, contact the laboratory.

Timeline: Reports are issued within 3 to 4 weeks from the date of sample receipt at the laboratory. Delays may occur if additional confirmatory Sanger sequencing is required.

Patient Instructions

1
Before the Test:Prior to the test, a genetic counseling session is arranged to draw a family pedigree and explain the implications of the test results. The patient or guardians will be asked to sign an informed consent form.
2
During the Test:The test involves a blood sample collection or a finger-prick blood spot on an FTA card. The sample is sent to the DNA Labs India laboratory, where DNA extraction is performed and NGS is carried out using a validated platform.
3
After the Test:After the analysis, the results are interpreted and a clinical report is generated. The report includes the identified variants, their classification, and a medical recommendation. The report is delivered online within 3-4 weeks. Raw data files are provided upon request.

About This Test

Who Should Get This Test

The purpose of this test is to detect pathogenic variants in the TUBB3 gene that are associated with congenital fibrosis of extraocular muscles type 3a. The test is intended for individuals with clinical features suggestive of CFEOM3A, for confirmation of diagnosis, and for reproductive risk assessment in affected families.

How to Prepare

  • Use an EDTA vacutainer for blood sample collection.
  • If using an FTA card, ensure the blood spot thoroughly saturates the marked circle.
  • Label the sample with patient name, date of birth, and collection date.
  • Transport the sample at ambient temperature within 24 hours, or frozen for long-distance shipment (except FTA cards which can be transported at room temperature).

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"Early genetic diagnosis of TUBB3-related disorders can guide family planning and enable timely ophthalmologic intervention."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume2-3 ml blood in EDTA tube (or as per collection kit)
ContainerEDTA vacutainer / FTA Card / DNA elution tube
Collection MethodPeripheral blood draw / FTA card spot / extracted DNA submission

Sample Stability

Whole blood at ambient temperature
Whole blood at 2-8°C
Extracted DNA at -20°C
FTA card at ambient temperature
Sample Rejection Criteria:
  • Hemolyzed blood sample
  • Clotted blood sample
  • Quantity of DNA below the required threshold
  • FTA card not fully saturated or contaminated
  • Sample without proper labeling or patient details

Understanding Your Results

Genetic test results should be interpreted in the context of the patient's clinical presentation and family history. A multidisciplinary approach involving ophthalmologists, clinical geneticists, and genetic counselors is recommended.
📊

Pathogenic or likely pathogenic variant detected

Confirms the clinical diagnosis of CFEOM3A. Genetic counseling is strongly advised for the patient and family members.

Action: Ophthalmologic management, surgical planning, and assessment of extracular manifestations such as peripheral neuropathy or intellectual disability.

📊

Variant of uncertain significance (VUS) detected

A rare variant was identified, but its clinical significance is unknown. Segregation analysis in family members and further functional studies may be required.

Action: Correlate with clinical findings; consider additional genetic testing (e.g., gene panel or exome sequencing) if phenotype is strongly suggestive.

📊

No pathogenic variant detected

No clinically significant mutations in the TUBB3 gene were identified. This reduces the likelihood of CFEOM3A but does not exclude all genetic causes of the condition.

Action: Consider testing other CFEOM-related genes (e.g., KIF21A, PHOX2A, TUBG1) or a comprehensive eye movement disorder panel.

⚠️ When to Consult a Doctor:

If you or your child experience symptoms such as restricted eye movement, crossed eyes, drooping eyelids, or involuntary eye movements, consult an ophthalmologist. If congenital fibrosis of extraocular muscles is suspected, a referral to a clinical geneticist for genetic testing and counseling is recommended.

Limitations

  • This test detects variants in the TUBB3 gene only and does not rule out other genetic causes of congenital fibrosis of extraocular muscles (e.g., KIF21A, PHOX2A, TUBB2B, etc.)
  • Large deletions or duplications in TUBB3 may not be reliably detected by standard NGS sequencing; supplementary deletion/duplication analysis is recommended if clinically suspected
  • Variant interpretation may be limited by current scientific knowledge; VUS results may require further family segregation studies
  • Somatic mosaicism may be missed if the variant is present at low allele frequency
  • This test is not intended for prenatal diagnosis unless explicitly validated

Risks & Considerations

  • Nil significant. Blood collection carries a minimal risk of bruising, bleeding, or infection at the puncture site.
  • Possible psychological impact of receiving a genetic diagnosis; genetic counseling is available.

Interfering Factors

  • Poor sample quality or insufficient DNA quantity
  • DNA degradation due to improper storage or transport
  • Contamination from foreign DNA during collection
  • Rare neutral variants or novel variants of unknown significance

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Frequently Asked Questions

What is congenital fibrosis of extraocular muscles type 3a?
CFEOM3A is a rare inherited disorder that affects the muscles controlling eye movement. It is caused by mutations in the TUBB3 gene, leading to restricted eye movements and other developmental issues. It is typically present from birth and can vary in severity.
What does the TUBB3 gene do?
The TUBB3 gene provides instructions for making tubulin beta-3 chain, a protein essential for normal development and function of nerve cells. This protein is particularly important for the growth and guidance of neurons that control eye movement.
How is CFEOM3A inherited?
CFEOM3A is usually inherited in an autosomal dominant pattern, meaning one copy of the mutated gene is sufficient to cause the disorder. In some cases, it can occur as a de novo mutation with no family history.
What are the common symptoms of CFEOM3A?
Common symptoms include difficulty moving the eyes in certain directions, strabismus (crossed eyes), nystagmus (involuntary eye movements), amblyopia (lazy eye), drooping eyelids, and sometimes facial weakness, intellectual disability, or peripheral neuropathy.
Why is genetic testing recommended for CFEOM3A?
Genetic testing confirms the clinical diagnosis, helps distinguish CFEOM3A from other eye movement disorders, aids in prognosis, and enables accurate genetic counseling for the patient and family members. It can also guide surgical planning and treatment decisions.
What is the cost of the TUBB3 gene NGS test at DNA Labs India?
The test costs Rs 20,000. This includes home sample collection, NGS sequencing, genetic counseling, and the clinical report. We do not charge extra for home blood collection.
What sample is required for the test?
The sample can be either 2-3 ml of blood in an EDTA tube, extracted DNA, or a single spot of blood on an FTA card. The FTA card method is convenient for remote locations and can be shipped at room temperature.
How long does it take to get the test report?
The turnaround time is 3 to 4 weeks. The exact duration may depend on the complexity of the variants and whether any confirmatory sequencing is required.
Does DNA Labs India provide raw data files?
Yes, we are one of the few laboratories in India that provide raw data files such as FASTQ and VCF along with the clinical report. This ensures full transparency and allows for re-analysis in the future.
Can this test be done for a child?
Yes, the test is suitable for individuals of all ages, including infants and children. Informed consent must be provided by a parent or guardian for minors.
What if the test does not find any mutation in TUBB3?
If no pathogenic variant is detected, it reduces the likelihood of CFEOM3A but does not rule out other genetic conditions. Your doctor may recommend a wider gene panel or chromosomal microarray to identify alternative causes.
Why should I choose DNA Labs India for this genetic test?
DNA Labs India is a NABL-accredited laboratory with expertise in next-generation sequencing. We provide transparent reporting, raw data files, genetic counseling, and affordable pricing. Our strong network covers 700+ cities across India with free home sample collection.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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