Waardenburg Anophthalmia Syndrome (WAS) is a rare developmental disorder associated with anophthalmia (absence of the eye) or microphthalmia, and various limb malformations. Consanguinity was noted in 90% of the families reported with WAS. The most common and distinctive foot abnormality is the presence of only four toes bilaterally. Most studied cases showed a wide gap between the 1st and 2nd toes. Joint laxity, club foot, valgus deformity, hypoplastic fibula, bowed tibia, and hip dislocation were observed in some cases. About 75% of the cases had abnormalities in both hands with the most distinctive abnormality of basal synostosis of the fourth and fifth metacarpals. Also, camptodactyly affecting the second through fifth fingers was noted in several cases. About 50% of the patients showed postnatal growth delay. Severe mental retardation was also present in 50% of the reported cases.