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Intravitreal anti-vascular endothelial growth factor agents as an adjunct in the management of Coats' disease in children.
[coats disease]
We
describe
the
role
of
intravitreal
anti-
vascular
endothelial
growth
factor
(
VEGF
)
agents
in
Coats
'
disease
in
children
.
In
a
prospective
,
interventional
,
non-randomized
case
series
,
three
patients
(
three
eyes
)
aged
16
,
seven
and
two
years
were
diagnosed
to
have
Coats
'
disease
.
In
Case
1
(
16
yr
/
male
)
with
macular
edema
,
previous
laser
photocoagulation
being
unsuccessful
,
intravitreal
pegaptanib
sodium
(
Macugen
)
was
tried
.
Case
2
(
seven
yr
/
male
)
and
Case
3
(
two
yr
/
female
)
were
diagnosed
to
have
Stage
4
Coats
'
and
underwent
external
needle
drainage
,
laser
photocoagulation
,
SF
6
gas
injection
and
intravitreal
injection
of
bevacizumab
(
Avastin
)
.
Reduction
of
exudation
and
attached
posterior
pole
(
Cases
2
and
3
)
was
seen
at
a
follow-up
of
six
months
and
two
months
respectively
.
Intravitreal
anti-
VEGF
agents
may
be
successfully
used
as
adjunct
treatment
in
select
cases
of
Coats
'
disease
in
childhood
.
Diseases
Validation
Diseases presenting
"growth factor"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenal incidentaloma
aniridia
cadasil
cholangiocarcinoma
coats disease
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dystrophic epidermolysis bullosa
esophageal carcinoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
holt-oram syndrome
inclusion body myositis
kallmann syndrome
krabbe disease
liposarcoma
lymphangioleiomyomatosis
oculocutaneous albinism
oral submucous fibrosis
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
systemic capillary leak syndrome
von hippel-lindau disease
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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