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Start free with EleplanPeters plus syndrome
ORPHA:709Malformation syndrome
Also called Krause-Kivlin syndrome · Krause-van Schooneveld-Kivlin syndrome · Peters anomaly with short limb dwarfism
What it is
Peters plus syndrome is an autosomal recessively inherited syndromic developmental defect of the eye characterized by a variable phenotype including Peters anomaly and other anterior chamber eye anomalies, short limbs, limb abnormalities (i.e. rhizomelia and brachydactyly), characteristic facial features (upper lip with cupid bow, short palpebral fissures), cleft lip/palate, and mild to severe developmental delay/intellectual disability. Other associated abnormalities reported in some patients include congenital heart defects (i.e. hypoplastic left heart, absence of right pulmonary vein, bicuspid pulmonary valve), genitourinary anomalies (hydronephrosis, renal hypoplasia, renal and ureteral duplication, multicystic dysplastic kidneys, glomerulocystic kidneys) and congenital hypothyroidism.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
22- Anterior chamber synechiae
- Brachycephaly
- Brachydactyly
- Clinodactyly of the 5th finger
- Corneal opacity
- Disproportionate short-limb short stature
- Exaggerated cupid's bow
- Glaucoma
- Global developmental delay
- Intellectual disability
- Intrauterine growth retardation
- Long face
- Long philtrum
- Micrognathia
- Micromelia
- Peters anomalyDiagnostic criterion
- Round face
- Short columella
- Short foot
- Short neck
- Short toe
- Thin upper lip vermilion
Common30–79%
27- Abnormal cardiac septum morphology
- Abnormality of the pulmonary artery
- Abnormality of vision
- Cataract
- Cleft palate
- Cleft upper lip
- Cryptorchidism
- Decreased fetal movement
- Feeding difficulties in infancy
- Frontal bossing
- Hydrocephalus
- Hypertelorism
- Hypospadias
- Microcornea
- Microtia, second degree
- Nystagmus
- Postnatal growth retardation
- Preauricular pit
- Preauricular skin tag
- Prominent forehead
- Pulmonic stenosis
- Short palpebral fissure
- Short stature
- Toe syndactyly
- Upslanted palpebral fissure
- Webbed neck
- Widely spaced teeth
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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