Ocular motor apraxia, Cogan type (O.MA) is a rare congenital eye disorder. This is also referred to as congenital oculomotor apraxia (COMA). Cogan first reported this disorder in 1952. It is thought to be inherited as an autosomal recessive genetic trait. However, school-age children, as a secondary problem to neurological and metabolic diseases, may acquire this condition. Ocular motor apraxia can be associated with a wide array of brain malformations, metabolic disorders, and perinatal problems.