Evidence map›Paper›PMID 28553669›Full record

ArticleJournal of vitreoretinal diseases2017

Simultaneous dexamethasone intravitreal implant and anti-VEGF therapy for neovascular age-related macular degeneration resistant to anti-VEGF monotherapy.

Bozho Todorich, Aristomenis Thanos, Yoshihiro Yonekawa, Gerta Mane, Madeleine Hasbrook, Benjamin J Thomas, Maria A Woodward, George A Williams, Antonio Capone, Jeremy D Wolfe and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of vitreoretinal diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Bozho TodorichAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Aristomenis ThanosAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Yoshihiro YonekawaAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Gerta ManeBeaumont Eye Institute, William Beaumont Hospital, Royal Oak, MI.
Madeleine HasbrookBeaumont Eye Institute, William Beaumont Hospital, Royal Oak, MI.
Benjamin J ThomasAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Maria A WoodwardKellogg Eye Center, University of Michigan, Ann Arbor, MI.
George A WilliamsAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Antonio CaponeAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Jeremy D WolfeAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Lisa J FaiaAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Tarek S HassanAssociated Retinal Consultants, William Beaumont Hospital, Royal Oak, MI.
Beaumont Hospital, Royal Oak · USAssociated Retinal Consultants · USBeaumont Eye Institute · USUniversity of Michigan · US

Funding

Telemedicine For Anterior Eye DiseasesK23EY023596 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOODWARD, MARIA ANNEKE · 2013 to 2017
$1.1M
NEI NIH HHS K23 EY023596
6 · The paper itself

Abstract

purposeTo evaluate the efficacy of a dexamethasone intravitreal implant in combination with intravitreal anti-VEGF agents for treatment resistant neovascular age-related macular degeneration (nvAMD).

methodsThis study was designed as a single-center, retrospective interventional case series. Consecutive patients with treatment-resistant nvAMD underwent simultaneous combined injection of anti-VEGF agent and dexamethasone intravitreal implant. Eighteen patients with mean age of 81.5 years were included. Patients received average of 26.3 anti-VEGF injections before dual therapy, with mean follow up of 8.2 months after dual therapy.

resultsDual therapy produced a significant mean decrease in CFT (126.3 μm), compared to a mean increase of 29.9 μm when treated with anti-VEGF monotherapy (p=0.0017). Patients also had mean decrease in MCV of -0.85 mm

conclusionsCombined treatment of anti-VEGF with the dexamethasone intravitreal implant is a viable alternative for treatment-resistant nvAMD, and may reduce treatment burden. Earlier treatment with dual therapy may be beneficial to maximize anatomic and visual outcomes in these patients.

Indexed as

Anti-VEGFDexamethasone intravitreal implantNeovascular AMDPersistent fluidTreatment resistance

Identifiers

PMID28553669
PMCPMC5444334
OpenAlexW2582960440

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.