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Coats Plus Syndrome Presenting in an Adult
Fae B Kayarian1, Steven M Cohen2,3, Mark L Cohen4
1Rush Medical College of Rush University Medical Center, Chicago, IL, USA.
Insights
Coats plus syndrome (CPS) can manifest as retinal vascular disease with capillary nonperfusion. Genetic testing for the CTC1 gene confirms CPS diagnosis in adults with suggestive systemic symptoms and vision loss.
Area of Science:
- Ophthalmology
- Genetics
- Vascular Biology
Background:
- Coats plus syndrome (CPS) is a rare genetic disorder.
- CPS is characterized by retinal vascular abnormalities, neurological issues, and systemic manifestations.
- Retinal capillary nonperfusion is a significant ocular finding in CPS.
Abstract:
Purpose: To present a case of retinal vascular disease characterized primarily by capillary nonperfusion in an adult with Coats plus syndrome (CPS). Methods: A case and its findings were analyzed. Results: A 38-year-old woman with a history of poliosis, thrombocytopenia, seizures, and white-matter brain lesions was referred for evaluation of bilateral blurred central vision. Fluorescein angiography showed extensive bilateral retinal capillary nonperfusion with retinal arteriolitis in the right eye. Genetic testing found 2 pathological mutations in the conserved telomere maintenance component 1 (CTC1) gene, diagnostic of CPS. Conclusions: Genetic testing may be diagnostic in patients who present with retinal vascular disease and systemic disease suggestive of CPS.
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