Evidence map›Paper›PMID 33840064›Full record

ReviewOphthalmology and therapy2021

Importance of Anatomical Efficacy for Disease Control in Neovascular AMD: An Expert Opinion.

Konstantinos Balaskas, Winfried M Amoaku, Tomas Cudrnak, Louise M Downey, Markus Groppe, Sajjad Mahmood, Hemal Mehta, Quresh Mohamed, Bushra Mushtaq, Philip Severn and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Ophthalmology and therapy, 2021. 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
1.1field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Emerging clinical evidence of a dual role for Ang-2 and VEGF-A blockade with faricimab in retinal diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  3. Faricimab for neovascular age-related macular degeneration and diabetic macular edema: from preclinical studies to phase 3 outcomes.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
  4. Article
  5. Article
  6. 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

12 authors at 12 institutions in 1 country.

Konstantinos BalaskasNIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and University College of London Institute of Ophthalmology, London, UK. k.balaskas@nhs.net.
Winfried M AmoakuAcademic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.
Tomas CudrnakRoyal Eye Infirmary, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Louise M DowneyHull University Teaching Hospital, Hull, UK.
Markus GroppeOphthalmology, Stoke Mandeville, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Sajjad MahmoodManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Hemal MehtaRoyal Free London NHS Foundation Trust, London, UK.
Quresh MohamedGloucestershire Eye Unit, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Bushra MushtaqBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Philip SevernSouth Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Athanasios VardarinosEye Treatment Centre, West Suffolk Hospital, West Suffolk NHS Foundation Trust, Bury St Edmunds, UK.
Yit C YangWolverhampton Eye Infirmary, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Birmingham and Midland Eye Centre · GBBuckinghamshire Healthcare NHS Trust · GBCheltenham General Hospital · GBManchester Royal Eye Hospital · GBMoorfields Eye Hospital NHS Foundation Trust · GBRoyal Free London NHS Foundation Trust · GBSouth Tees Hospitals NHS Foundation Trust · GBThe Royal Wolverhampton NHS Trust · GBUniversity Hospitals Plymouth NHS Trust · GBUniversity of Hull · GBUniversity of Nottingham · GBWest Suffolk NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeovascular age-related macular degeneration (nAMD) presents a significant treatment burden for patients, carers and medical retina services. However, significant debate remains regarding how best to manage nAMD when assessing disease activity by optical coherence tomography (OCT), and particularly the significance of different types of fluid and how the understanding of anatomical efficacy can influence treatment strategies. This article provides opinion on the practical implications of anatomical efficacy and significance of fluid in the management of nAMD and proposes recommendations for healthcare professionals (HCPs) to improve understanding and promote best practice to achieve disease control.

methodsAn evidence-based review was performed and an expert panel debate from the Retina Outcomes Group (ROG), a forum of retinal specialists, provided insights and recommendations on the definition, role and practical implications of anatomical efficacy and the significance of fluid at the macula in the management of nAMD.

resultsThe ROG has developed recommendations for achieving disease control through a zero-tolerance approach to the presence of fluid in nAMD as patients who avoid fluctuations in fluid at the macula have better visual outcomes. Recommendations cover five key areas: service protocol, training, regimen, multidisciplinary teams and engagement. This approach facilitates more standardised protocol-based treatment strategies.

conclusionsTargeting a fluid-free macula and aiming for disease control are essential to improve outcomes. As new therapies and technologies become available, drying the macula and maintaining disease control will become even more achievable. The outlined recommendations aim to promote best practice among HCPs and medical retina services to improve patient outcomes.

Indexed as

Anatomical efficacyDisease control fluidOCTStability

Identifiers

PMID33840064
PMCPMC8079469
OpenAlexW3156678927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.