Evidence map›Paper›PMID 32328757›Full record

ReviewGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

Guidance for anti-VEGF intravitreal injections during the COVID-19 pandemic.

Jean-François Korobelnik, Anat Loewenstein, Bora Eldem, Antonia M Joussen, Adrian Koh, George N Lambrou, Paolo Lanzetta, Xiaoxin Li, Monica Lövestam-Adrian, Rafael Navarro and 5 more

Open access · hybridAbstract readReview
In one paragraph

Review in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
17.6field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  12. VEGF signaling: Role in angiogenesis and beyond.Biochimica et biophysica acta. Reviews on cancer · 2024
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 14 institutions in 14 countries.

Jean-François KorobelnikService d'ophtalmologie, CHU Bordeaux, Bordeaux, France. jean-francois.korobelnik@chu-bordeaux.fr.
Anat LoewensteinDivision of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Bora EldemDepartment of Ophthalmology, Hacettepe University, Ankara, Turkey.
Antonia M JoussenCharité - University Medicine Berlin, Berlin, Germany.
Adrian KohEye and Retina Surgeons, Camden Medical Centre, Singapore, Singapore.
George N LambrouGlobal Medical Affairs Ophthalmology, Bayer, Basel, Switzerland.
Paolo LanzettaDepartment of Medicine - Ophthalmology, University of Udine, Udine, Italy.
Xiaoxin LiEye Center and Eye Institute, Peking University People's Hospital, Beijing, China.
Monica Lövestam-AdrianDepartment of Ophthalmology, Lund University Hospital, Lund, Sweden.
Rafael NavarroInstituto Microcirugia Ocular, Barcelona, Spain.
Annabelle A OkadaDepartment of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan.
Ian PearceRoyal Liverpool University Hospital, Liverpool, UK.
Francisco J RodríguezFundación Oftalmologia Nacional, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia.
David T WongUnity Health Toronto - St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Lihteh WuMacula, Vitreous and Retina Associates of Costa Rica, San José, Costa Rica.
Bayer (Switzerland) · CHCentre Hospitalier Universitaire de Bordeaux · FRCharité - Universitätsmedizin Berlin · DEEye & Retina Surgeons · SGHacettepe University · TRInstituto de Microcirugía Ocular · ESKyorin University · JPLund University · SEPeking University People's Hospital · CNRoyal Liverpool University Hospital · GBTel Aviv University · ILUniversidad del Rosario · COUniversity of Toronto · CAUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is an urgent need to address how to best provide ophthalmic care for patients with retinal disease receiving intravitreal injections with anti-vascular endothelial growth factor agents during the ongoing global COVID-19 pandemic. This article provides guidance for ophthalmologists on how to deliver the best possible care for patients while minimizing the risk of infection.

methodsThe Vision Academy's Steering Committee of international retinal disease experts convened to discuss key considerations for managing patients with retinal disease during the COVID-19 pandemic. After reviewing the existing literature on the issue, members put forward recommendations that were systematically refined and voted on to develop this guidance.

resultsThe considerations focus on the implementation of steps to minimize the exposure of patients and healthcare staff to COVID-19. These include the use of personal protective equipment, adherence to scrupulous hygiene and disinfection protocols, pre-screening to identify symptomatic patients, and reducing the number of people in waiting rooms. Other important measures include triaging of patients to identify those at the greatest risk of irreversible vision loss and prioritization of treatment visits over monitoring visits where possible. In order to limit patient exposure, ophthalmologists should refrain from using treatment regimens that require frequent monitoring.

conclusionManagement of patients with retinal disease receiving intravitreal injections during the COVID-19 pandemic will require adjustment to regular clinical practice to minimize the risk of exposure of patients and healthcare staff, and to prioritize those with the greatest medical need. The safety of patients and healthcare staff should be of paramount importance in all decision-making.

Indexed as

Intravitreal InjectionsBetacoronavirusCoronavirus InfectionsCOVID-19DisinfectionHumansOphthalmologyPandemicsPersonal Protective EquipmentPneumonia, ViralRetinal DiseasesSARS-CoV-2Vascular Endothelial Growth Factor AVascular Endothelial Growth Factor ACoronavirusCOVID-19OphthalmologyRecommendationsRetinal diseaseVision Academy

Identifiers

PMID32328757
PMCPMC7179379
OpenAlexW3020080616

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.