Evidence map›Paper›PMID 25824327›Full record

Trial reportOphthalmology2015

Influence of the Vitreomacular Interface on Treatment Outcomes in the Comparison of Age-Related Macular Degeneration Treatments Trials.

Thomas A Ciulla, Thomas A Cuilla, Gui-Shuang Ying, Maureen G Maguire, Daniel F Martin, Glenn J Jaffe, Juan E Grunwald, Ebenezer Daniel, Cynthia A Toth, Comparison of Age-Related Macular Degeneration Treatments Trials Research Group

Erratum issued Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00593450 (Comparison of Age-related Macular Degeneration Treatments Trials), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00593450 phase3completednot on this map

Comparison of Age-related Macular Degeneration Treatments Trials: Lucentis-Avastin Trial (CATT)

TypeinterventionalSponsorUniversity of PennsylvaniaRan2008 to 2015Enrolled1,208ConditionsAge Related Macular DegenerationArmsranibizumab, bevacizumab
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Vitrectomy with macular peeling in eyes with vitreomacular interface disorders and nonexudative age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Influence of vitrectomy on the progression of dry age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  16. Vitreomacular interface after anti-VEGF injections in diabetic macular edema.International journal of retina and vitreous · 2021
    Article
  17. Anti-integrin therapy for retinovascular diseases.Expert opinion on investigational drugs · 2020
    Review
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    Cuilla, Thomas A [Corrected to Ciulla, Thomas A]
5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Thomas A CiullaMidwest Eye Institute, Indianapolis, Indiana.
Thomas A CuillaMidwest Eye Institute, Indianapolis, Indiana.
Gui-Shuang YingDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Maureen G MaguireDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: maguirem@mail.med.upenn.edu.
Daniel F MartinCole Eye Institute, Cleveland Clinic, Cleveland, Ohio.
Glenn J JaffeDepartment of Ophthalmology, Duke University, Raleigh, North Carolina.
Juan E GrunwaldDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Ebenezer DanielDepartment of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
Cynthia A TothDepartment of Ophthalmology, Duke University, Raleigh, North Carolina.
Comparison of Age-Related Macular Degeneration Treatments Trials Research Group
University of Pennsylvania · USDuke University · USCleveland Clinic · USMidwest Eye Institute · US

Funding

Coordinating Center for the Comparison of AMD Treatments TrialsU10EY017823 · NEI · UNIVERSITY OF PENNSYLVANIA · PI MAGUIRE, MAUREEN G · 2006 to 2012
$19.2M
Photograph Reading Center for the Comparison of AMD Treatment TrialsU10EY017826 · NEI · UNIVERSITY OF PENNSYLVANIA · PI GRUNWALD, JUAN E · 2006 to 2013
$2.8M
Comparison of AMD Treatment Trials-OCT Reading CenterU10EY017825 · NEI · DUKE UNIVERSITY · PI JAFFE, GLENN · 2006 to 2013
$2.3M
Chair Grant for the Comparison of AMD Treatment TrialsU10EY017828 · NEI · EMORY UNIVERSITY · PI MARTIN, DANIEL F · 2006 to 2012
$1.9M
Secondary Data Analysis of the Data from Comparison of AMD Treatments TrialsR21EY023689 · NEI · UNIVERSITY OF PENNSYLVANIA · PI YING, GUI-SHUANG · 2013 to 2014
$436k
NEI NIH HHS R21 EY023689NEI NIH HHS R21EY023689NEI NIH HHS U10 EY017823NEI NIH HHS U10 EY017825NEI NIH HHS U10EY017825NEI NIH HHS U10 EY017826NEI NIH HHS U10 EY017828
6 · The paper itself

Abstract

objectiveTo assess the association of the vitreomacular interface with outcomes of eyes treated with anti-vascular endothelial growth factor drugs for neovascular age-related macular degeneration (AMD).

designProspective cohort study within a multicenter, randomized clinical trial.

participantsPatients enrolled in the Comparison of AMD Treatments Trials (CATT).

methodsTreatment was assigned randomly as either ranibizumab or bevacizumab and as 3 different regimens for dosing over a 2-year period. Masked readers at a reading center assessed optical coherence tomography (OCT) scans at baseline and follow-up for vitreomacular traction (VMT) and vitreomacular adhesion (VMA), fluid, and central thickness. Visual acuity (VA) was measured by masked, certified examiners.

main outcome measuresAnatomic features and VA at baseline and 1 and 2 years and number of treatments.

resultsAt baseline, 143 patient eyes (12.8%) had VMT or VMA. Compared with those with neither (n = 972), patients with VMT or VMA were younger (mean ± standard error, 75.5 ± 0.6 vs. 79.7 ± 0.24 years; P < 0.0001) and more likely to be male (52.4% vs. 36.2%; P = 0.0003), to be cigarette smokers (68.5% vs. 55.3%; P = 0.003), and to have subretinal fluid on OCT (86.7% vs. 81.0%; P = 0.047). Vitreomacular interface status was not associated with VA at baseline or follow-up. Among eyes treated as needed (n = 598) and followed up for 2 years (n = 516), the mean number of injections was 15.4 ± 0.9 for eyes having VMT at baseline or during follow-up (n = 60), 13.8 ± 0.7 for eyes with VMA at baseline or follow-up (n = 79), and 12.9 ± 0.4 (P = 0.02) for eyes without VMT or VMA (n = 377). In addition, the mean number of injections in eyes treated as needed increased from 13.0 ± 0.3 when VMT was not observed to 13.6 ± 1.3 when observed once and to 17 ± 1.2 when observed more than once during follow-up. At 2 years, geographic atrophy developed in a lower percentage of eyes with VMT or VMA at baseline (11.7%) than with neither condition (22.5%; P = 0.005).

conclusionsIn eyes in the CATT, VMT and VMA were infrequent. At baseline and follow-up, VMT or VMA were not associated with VA. Eyes with VMT or VMA treated as needed required on average 2 more injections over 2 years.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabBlood-Retinal BarrierCohort StudiesFemaleFluorescein AngiographyHumansIntravitreal InjectionsMacula LuteaMaleProspective StudiesRanibizumabRetinal DiseasesAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabRanibizumabVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID25824327
PMCPMC4446183
OpenAlexW2150525974

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.