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An evidence-based review of vascular endothelial growth factor inhibition in pediatric retinal diseases: part 2. Coats' disease, best disease, and uveitis with childhood neovascularization.
[coats disease]
Vascular
endothelial
growth
factor
(
VEGF
)
is
an
important
factor
in
the
pathogenesis
of
multiple
retinal
neovascular
disorders
.
This
report
focuses
on
the
quality
and
depth
of
new
evidence
for
the
use
of
VEGF
inhibitors
in
selected
pediatric
ocular
diseases
,
including
Coats
'
disease
,
Best
disease
,
and
childhood
uveitis
.
Because
much
of
the
literature
comprises
case
reports
and
retrospective
case
series
,
the
level
of
evidence
supporting
its
use
as
a
primary
treatment
option
,
or
even
as
adjuvant
therapy
,
is
low
.
The
standard
of
care
is
treatment
of
the
underlying
disorder
to
prevent
neovascularization
(
retinal
or
subretinal
)
,
vitreous
hemorrhage
,
or
subsequent
retinal
detachment
.
However
,
these
complications
may
not
present
until
late
in
the
disease
course
.
It
may
then
be
useful
to
treat
with
these
agents
.
Prospective
studies
are
warranted
to
further
elucidate
the
role
of
anti-
VEGF
therapy
in
these
diseases
.
Diseases
Validation
Diseases presenting
"vascular endothelial growth factor"
symptom
adrenal incidentaloma
aniridia
coats disease
dedifferentiated liposarcoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
inclusion body myositis
krabbe disease
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
severe combined immunodeficiency
systemic capillary leak syndrome
von hippel-lindau disease
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