Evidence map›Paper›PMID 29929478›Full record

ArticleBMC ophthalmology2018

Clinical response of pigment epithelial detachment associated with neovascular age-related macular degeneration in switching treatment from Ranibizumab to Aflibercept.

Pallavi Tyagi, Zain Juma, Yong Keen Hor, Neil W Scott, Andreea Ionean, Cynthia Santiago

Abstract read
In one paragraph

Article in BMC ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Regression in polypoidal choroidal vasculopathy treated with ziv-aflibercept monotherapy - short term study.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
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

6 authors.

Pallavi TyagiDepartment of Ophthalmology, Aberdeen Royal infirmary, Forresterhill Road, Aberdeen, AB25 5ZN, UK. palv2007@gmail.com.
Zain JumaDepartment of Ophthalmology, Aberdeen Royal infirmary, Forresterhill Road, Aberdeen, AB25 5ZN, UK.
Yong Keen HorThe school of medicine, University of Aberdeen, Aberdeen, AB25 2ZD, UK.
Neil W ScottMedical Statistics Team, University of Aberdeen, Aberdeen, AB25 2ZD, UK.
Andreea IoneanDepartment of Ophthalmology, Aberdeen Royal infirmary, Forresterhill Road, Aberdeen, AB25 5ZN, UK.
Cynthia SantiagoDepartment of Ophthalmology, Aberdeen Royal infirmary, Forresterhill Road, Aberdeen, AB25 5ZN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo study the clinical outcomes of pigment epithelial detachment (PED) associated with neovascular age-related macular degeneration (nAMD) in patients switched from Ranibizumab to Aflibercept.

methodsRetrospective non-comparative case series. 50 eyes with active nAMD and fovea involving PED of ≥100 μm measured manually using the caliper on the OCT, initially treated with intravitreal Ranibizumab (0.5 mg/0.05 ml) and later switched to Aflibercept (2.0 mg/0.05 ml). The outcome measures of best corrected visual acuity (BCVA), PED height, PED width and number of injections were measured at baseline and at time point of switch, 4 months, 1 year and at last follow up visit post-switch. Three paired t-tests and Pearson's correlations were calculated to analyze variables at switch and change in variables at 1 year.

resultsAfter switch to Aflibercept, the improvement of BCVA was 1.84 (p = 0.11), 1.74 (p = 0.21) and 1.16 (p = 0.45) letters, the change in PED height was - 65.6μm (p < 0.001), - 50.64μm (p = 0.007) and - 68.48μm (p < 0.001) and the change in PED width was - 36.6μm (p = 0.514), + 29.7μm (p = 0.922) and + 118.4μm (p = 0.210) at 4 months, 1 year and the last visit respectively. There was a moderate negative correlation between reduction in PED height at 1 year after switch and PED height at the time of switch to Aflibercept (r = - 0.474, p < 0.05).

conclusionThe improvement in BCVA and change in PED width was not statistically significant however the reduction in PED height was significant after switching treatment to Aflibercept. The change in BCVA at 1 year after switch was not correlated with any of the analyzed anatomical characteristics of PED.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsDose-Response Relationship, DrugDrug Administration ScheduleDrug SubstitutionFemaleFollow-Up StudiesHumansIntravitreal InjectionsMaleMiddle AgedRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetinal DetachmentafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAfliberceptNeovascular age related macular degenerationPigment epithelial detachment

Identifiers

PMID29929478
PMCPMC6013852

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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.