Evidence map›Paper›PMID 31388029›Full record

ArticleScientific reports2019

Dynamic changes in choroidal conditions during anti-vascular endothelial growth factor therapy in polypoidal choroidal vasculopathy.

Norihiro Nagai, Misa Suzuki, Sakiko Minami, Toshihide Kurihara, Mamoru Kamoshita, Hideki Sonobe, Kazuhiro Watanabe, Atsuro Uchida, Hajime Shinoda, Kazuo Tsubota and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

  1. Trial
  2. Multimodal evaluation of choroidal vascular alterations after panretinal photocoagulation in diabetic retinopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  19. Choroidal thickness profile and clinical outcomes in eyes with polypoidal choroidal vasculopathy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  20. 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

11 authors.

Norihiro NagaiLaboratory of Retinal Cell Biology, Keio University, School of Medicine, Tokyo, Japan.
Misa SuzukiLaboratory of Retinal Cell Biology, Keio University, School of Medicine, Tokyo, Japan.
Sakiko MinamiDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.
Toshihide KuriharaDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-5457-2720
Mamoru KamoshitaLaboratory of Retinal Cell Biology, Keio University, School of Medicine, Tokyo, Japan.
Hideki SonobeDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.
Kazuhiro WatanabeDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.
Atsuro UchidaDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1378-7151
Hajime ShinodaDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.
Kazuo TsubotaDepartment of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-8874-7111
Yoko OzawaLaboratory of Retinal Cell Biology, Keio University, School of Medicine, Tokyo, Japan. ozawa@a5.keio.jp.ORCID http://orcid.org/0000-0003-4797-5705

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We defined the relationships between initial choroidal conditions and their dynamics and exudative changes during anti-vascular endothelial growth factor (anti-VEGF) therapy in polypoidal choroidal vasculopathy (PCV). One hundred treatment-naïve eyes of 100 patients with PCV treated for 24 months at Keio University Hospital with intravitreal ranibizumab or aflibercept monotherapy (three injections and PRN thereafter) were retrospectively analyzed. Wet macula risk after three induction injections, which affected visual prognosis, was predicted by initial pachyvessels in the choroid (foveal greatest vertical choroidal vessel diameter [CVD] ≥180 μm) and pachychoroid (central choroidal thickness [CCT] ≥220 μm) recorded by optical coherence tomography. The risk for recurrent exudative change was greater in the pachyvessel groups irrespective of presence or absence of pachychoroid. Mean CVD and CCT decreased with anti-VEGF therapy when achieving a dry macula, suggesting that exudative changes are regulated by VEGF. Mean CVD and CCT at remission were greater in patients with initial pachyvessels and pachychoroid than in those without; the basal levels of CVD and CCT most likely represent VEGF-unrelated conditions. CVD increase preceded CCT increase and recurrent exudative changes, suggesting that the VEGF-related CVD increase may regulate CCT and exudative change; and that CVD may be a biomarker of exudative change.

Indexed as

AgedAngiogenesis InhibitorsChoroidChoroidal NeovascularizationFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMacular DegenerationMalePolypsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetrospective StudiesafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID31388029
PMCPMC6684594

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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.