Anti-VEGF Drugs in Eye Diseases: Local Therapy with Potential Systemic Effects

Markus van der Giet1, Cornelia Henkel, Mirjam Schuchardt

  • 1Charite - Campus Benjamin Franklin, Med. Klinik mit SP Nephrologie, Hindenburgdamm 30, 12203 Berlin. Markus.vanderGiet@charite.de.

Insights

Anti-vascular endothelial growth factor (VEGF) therapies are effective for eye diseases but can cause systemic side effects like hypertension. Careful monitoring is crucial for patients receiving anti-VEGF treatments.

Area of Science:

  • Ophthalmology
  • Oncology
  • Vascular Biology

Background:

  • Vascular endothelial growth factor (VEGF) is a key pro-angiogenic factor.
  • VEGF signaling pathway inhibition is a validated cancer treatment.
  • Local anti-VEGF therapy is established for several proliferative eye diseases.

Purpose of the Study:

  • To review the VEGF system and its role in proliferative eye diseases.
  • To discuss locally administered anti-VEGF drugs.
  • To summarize local and systemic side effects of anti-VEGF therapies.

Main Methods:

  • Literature review of VEGF system and anti-VEGF therapies.
  • Summary of clinical data on anti-VEGF drug efficacy and safety.
  • Analysis of local and systemic adverse events.

Main Results:

  • Anti-VEGF therapies show efficacy in treating conditions like diabetic retinopathy and macular degeneration.
  • Systemic administration of anti-VEGF drugs is associated with adverse effects such as hypertension and renal disorders.
  • Long-term systemic effects may occur even with limited drug resorption.

Conclusions:

  • The VEGF system is a delicate balance, and its disruption can lead to adverse outcomes.
  • Local anti-VEGF therapy is beneficial for specific eye diseases but requires careful consideration of potential systemic risks.
  • Further clinical studies are needed to fully understand the long-term systemic effects of anti-VEGF treatments.

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