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Updated: Sep 27, 2025

A Rat Model of Mild Intrauterine Hypoperfusion with Microcoil Stenosis
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Coats plus in prematurity.

Ashley López-Cañizares1, Maria P Fernandez1, Hasenin Al-Khersan1

  • 1Bascom Palmer Eye Institute.

Ophthalmic Genetics
|April 13, 2022
PubMed
Summary
This summary is machine-generated.

Coats Plus syndrome, a rare genetic disorder, presents with varied symptoms and retinal issues. Early diagnosis and treatment, including laser photocoagulation and bevacizumab, significantly improve outcomes.

Keywords:
CTC1 mutationCoats plus syndromecerebroretinal microangiopathy with calcifications and cystscoats diseaseleukodystrophyretinopathy of prematurity

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Area of Science:

  • Genetics
  • Ophthalmology
  • Neurology

Background:

  • Coats Plus syndrome (cerebroretinal microangiopathy with calcifications and cysts) is a rare, autosomal recessive disorder.
  • It affects microvasculature in the retina, brain, bones, and GI system, differing from Coats disease by its bilateral nature and multi-system involvement.

Observation:

  • A case report details two brothers with Coats Plus syndrome exhibiting variable phenotypes.
  • One sibling initially misdiagnosed with retinopathy of prematurity, the other presented with seizures and tremors.
  • Genetic confirmation of a CTC1 mutation was achieved in both patients.

Findings:

  • Variable phenotypic expression is characteristic of Coats Plus syndrome.
  • Aggressive treatment involving laser photocoagulation and intravitreal bevacizumab led to dramatic improvement in retinal vascular and exudative changes.

Implications:

  • Coats Plus syndrome should be considered in the differential diagnosis for atypical retinal pathologies.
  • Consideration is advised for conditions like retinopathy of prematurity, familial exudative vitreoretinopathy, or Coats disease with systemic abnormalities.