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No HPO annotations are available for this condition.
Peters plus syndrome is characterized by anterior chamber eye anomalies, short limbs with broad distal extremities, variable developmental delay / intellectual disability, typical facial features, and cleft lip/palate. Unless otherwise stated, the following description of clinical findings is based on the reports of and . Eyes. The most common anterior chamber defect is Peters' anomaly, consisting of central corneal clouding, thinning of the posterior cornea, and iridocorneal adhesions. Peters' anomaly may be classified as type I, a mild form, or type II, a more severe form associated with lens abnormalities including cataracts, congenital glaucoma, and a poorer visual prognosis . The eye involvement is usually, but not always, bilateral.
Peters plus syndrome should be suspected in individuals with anterior chamber anomalies of the eye (usually bilateral but in some cases unilateral), with or without any of the following:
Short limbs with broad distal extremities
Characteristic facial features including an exaggerated Cupid's bow of the upper lip, short palpebral fissures, and ear anomalies
No approved treatments are currently available for disorder of fucoglycosan synthesis. The disease remains an area of unmet medical need.
Gene therapy approaches for disorder of fucoglycosan synthesis have been reported in the published literature.
To establish the extent of disease and needs in an individual diagnosed with Peters plus syndrome, the following evaluations are recommended if they have not already been completed:
The following are appropriate:
Assessment by a pediatric ophthalmologist every three months or as indicated to monitor for glaucoma and amblyopia
Regular developmental assessments
Source: GeneReviews — "Peters Plus Syndrome"
No clinical trials have been registered for disorder of fucoglycosan synthesis.
207 publications have been identified in PubMed for disorder of fucoglycosan synthesis. Research spans Basic Science / Preclinical (43%), Review / Meta-Analysis (35%), and Epidemiology / Natural History (7%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 88 | 43% |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 4:38 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "Peters Plus Syndrome"
Cleft lip/palate
Variable developmental delay / intellectual disability
The diagnosis of Peters plus syndrome can be established clinically in a proband with the above . The diagnosis can be confirmed by identification of biallelic pathogenic variants in B3GLCT on molecular genetic testing :
Source: GeneReviews — "Peters Plus Syndrome"
The differential diagnosis of Peters plus syndrome comprises other conditions with short stature and limb shortening, including the following:
Isolated Peters' anomaly (OMIM 604229), which can be inherited in an autosomal dominant or autosomal recessive manner or can occur in simplex cases (i.e., a single occurrence in a family) in which the mode of inheritance is unknown. It has been reported in association with mutation of the following genes: CYP1B1, FOXC1, PAX6, FOXE3, NDP, SLC4A11, HCCS, PITX2, and PITX3.
• Cornelia de Lange syndrome
• Smith-Lemli-Opitz syndrome
• Autosomal dominant Robinow syndrome
• ROR2-related Robinow syndrome
Source: GeneReviews — "Peters Plus Syndrome"
Biomarker and diagnostic research for disorder of fucoglycosan synthesis has been reported in the published literature.
Complete ophthalmologic assessment including ocular ultrasonography for characterization of the eye anomaly and an assessment for associated ocular defects
Growth hormone stimulation testing to address the possibility of a treatable cause of growth delay in those affected individuals in whom increased height would improve quality of life
For neonates or infants, referral to an infant development program for appropriate developmental assessment
Echocardiography for congenital heart malformations
Abdominal ultrasound examination for renal anomalies
Cranial imaging with head ultrasound examination or CT scan/MRI for hydrocephalus and/or structural brain abnormalities if neurologic symptoms are present
Thyroid function testing in all infants who have not undergone newborn screening for congenital hypothyroidism
Hearing assessment in a child with cleft palate or speech delay
Consultation with a clinical geneticist and/or genetic counselor
Eye. Potential preservation of vision in the affected eye(s) often requires surgery. For severe bilateral corneal opacification consideration of corneal transplantation (penetrating keratoplasty) is suggested before age three to six months to prevent amblyopia; in mild cases simple separation of iridocorn...
Source: GeneReviews — "Peters Plus Syndrome"
Agents that increase risk of glaucoma (e.g., corticosteroids) are to be avoided.
Source: GeneReviews — "Peters Plus Syndrome"
View trials for disorder of fucoglycosan synthesis
Research summaries
73 |
35% |
Disease patterns and progression | 15 | 7% |
Patient case studies | 9 | 4% |
New treatment approaches | 9 | 4% |
Clinical study results | 5 | 2% |
Other research | 4 | 2% |
Testing and diagnosis research | 4 | 2% |
Ahn C (2026). [PMID: 41932754](https://pubmed.ncbi.nlm.nih.gov/41932754/). *Immunol Allergy Clin North Am*. [Review / Meta-Analysis]
Cruickshank HK (2026). [PMID: 41391623](https://pubmed.ncbi.nlm.nih.gov/41391623/). *Journal of affective disorders*. [Clinical Trial Publication]
Huang Y (2026). [PMID: 41544799](https://pubmed.ncbi.nlm.nih.gov/41544799/). *Metabolism*. [Epidemiology / Natural History]
Song W (2026). [PMID: 40914442](https://pubmed.ncbi.nlm.nih.gov/40914442/). *Survey of ophthalmology*. [Basic Science / Preclinical]
Damiano C (2026). [PMID: 41554119](https://pubmed.ncbi.nlm.nih.gov/41554119/). *J Inherit Metab Dis*. [Basic Science / Preclinical]
Du J (2026). [PMID: 41101688](https://pubmed.ncbi.nlm.nih.gov/41101688/). *Metabolism: clinical and experimental*. [Basic Science / Preclinical]
Mancini A (2026). [PMID: 41520939](https://pubmed.ncbi.nlm.nih.gov/41520939/). *Pharmacol Res*. [Review / Meta-Analysis]
Peter-Derex L (2026). [PMID: 42115467](https://pubmed.ncbi.nlm.nih.gov/42115467/). *Adv Tech Stand Neurosurg*. [Review / Meta-Analysis]
Sekar M (2026). [PMID: 41571383](https://pubmed.ncbi.nlm.nih.gov/41571383/). *Advances in clinical chemistry*. [Review / Meta-Analysis]
Yang W (2026). [PMID: 40554061](https://pubmed.ncbi.nlm.nih.gov/40554061/). *Journal of advanced research*. [Basic Science / Preclinical]