Evidence map›Paper›PMID 31179393›Full record

ArticleBMJ open ophthalmology2019

Effect of total anti-VEGF treatment exposure on patterns of choroidal neovascularisation assessed by optical coherence tomography angiography in age-related macular degeneration: a retrospective case series.

Livia Faes, Zaria Ali, Siegfried Wagner, Praveen J Patel, Dun Jack Fu, Lucas M Bachmann, Martin K Schmid, Nadia Waheed, Pearse A Keane, Konstantinos Balaskas

Abstract read
In one paragraph

Article in BMJ open ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

10 authors.

Livia FaesMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-9868-154X
Zaria AliMedical Retina, Manchester Royal Eye Hospital, Manchester, UK.
Siegfried WagnerMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Praveen J PatelMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Dun Jack FuMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Lucas M BachmannResearch Consultancy, medignition, Zurich, Switzerland.
Martin K SchmidRetina, Luzerner Kantonsspital, Luzern, Switzerland.
Nadia WaheedDepartment of Ophthalmology, New England Eye Center, Boston, Massachusetts, USA.
Pearse A KeaneMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Konstantinos BalaskasMedical retina Department, Moorfields Eye Hospital NHS Foundation Trust, London, UK.

Funding

Department of Health CS-2014-14-023Medical Research Council MC_PC_19005
6 · The paper itself

Abstract

objectiveTo compare clinical characteristics of patients suffering from neovascular age-related macular degeneration (nAMD) with mature and immature choroidal neovascularisation (CNV) as assessed by optical coherence tomography angiography (OCTA). To explore the effect of total anti-vascular endothelial growth factor exposure on the occurrence of mature CNV when correcting for potential confounders. METHODS AND ANALYSIS: In this retrospective case series, we included 40 eyes of 36 patients with nAMD with CNV assessed by OCTA at the Manchester Eye Hospital between June 2016 and June 2017. A retinal specialist masked to patient information graded CNV depicted on OCTA scans. For statistical comparisons, we used t-tests, Fisher's exact tests and a mixed-effects logistic regression model.

results18 patients (20 eyes) were treatment naïve, and the mean number of intravitreal injections (IVI) in the remaining eyes was 18.4 (range 2-71). The mean duration of nAMD was 19.3 months (range 0-87.4). 25 eyes (62.5%) exhibited mature CNV. Eyes with mature CNV did not differ from those with immature CNV regarding age (+2.8 years; p=0.288) or duration of disease (+9.4 months; p=0.061). However, they had a higher number of IVIs (+3.1; p=0.035). Among eyes with best corrected visual acuity over 25 letters, there was a strong association between the number of IVIs (0 vs 1-20: OR 68.01 [95% CI 1.30 to 3546.99; p=0.036], 0 vs >20 IVI: OR 380.01 [95% CI 2.60 to 55 464.89; p=0.019]) and maturity status when correcting for potential confounders.

conclusionMaturity status of CNV as assessed by OCTA may indicate treatment exposure of CNV in nAMD.

Indexed as

neovascularisationretinatreatment medical

Identifiers

PMID31179393
PMCPMC6528762

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