Evidence map›Paper›PMID 34408316›Full record

ReviewEye (London, England)2022

Disentangling the association between retinal non-perfusion and anti-VEGF agents in diabetic retinopathy.

Irini Chatziralli, Sara Touhami, Maria Vittoria Cicinelli, Chrysa Agapitou, Eleni Dimitriou, George Theodossiadis, Panagiotis Theodossiadis

Open access · bronzeAbstract readReview
In one paragraph

Review in Eye (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. MAGIC: Study Design and Rationale for the Phase 2 Clinical Trial of Faricimab for Non-Proliferative Diabetic Retinopathy.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2026
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  11. Prostaglandin EFrontiers in medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Irini Chatziralli2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece. eirchat@yahoo.gr.ORCID http://orcid.org/0000-0001-8523-1024
Sara TouhamiDepartment of Ophthalmology, Reference Center in Rare diseases, DHU Sight Restore, Hôpital Pitié Salpêtrière, Sorbonne Université, Paris, France.ORCID http://orcid.org/0000-0001-8346-3067
Maria Vittoria CicinelliSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.ORCID http://orcid.org/0000-0003-2938-0409
Chrysa Agapitou2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
Eleni Dimitriou2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
George Theodossiadis2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
Panagiotis Theodossiadis2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRSorbonne Université · FRVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic retinopathy (DR) is the most common microvascular complication of diabetes mellitus (DM) and the leading cause of blindness in patients with DM. In the pathogenesis of DR, chronic hyperglycemia leads to biochemical and structural alterations in retinal blood vessels' wall, resulting in hyperpermeability and non-perfusion. Since vascular endothelial growth factor (VEGF) has been found to play a significant role in the pathogenesis of DR, this review sheds light on the effect of intravitreal anti-VEGF agents on retinal non-perfusion in patients with DR. Based on the existing literature, anti-VEGF agents have been shown to improve DR severity, although they cannot reverse retinal ischemia. The results of the published studies are controversial and differ based on the location of retinal non-perfusion, as well as the imaging modality used to assess retinal non-perfusion. In cases of macular non-perfusion, most of studies showed no change in both fundus fluorescein angiography (FFA) and optical coherence tomography (OCTA) in patients with DR treated with intravitreal anti-VEGF agents, while few studies reported worsening of non-perfusion with enlargement of foveal avascular zone (FAZ). Regarding peripheral ischemia, studies using wide-field-FFA demonstrated an improvement or stability in non-perfusion areas after anti-VEGF treatment. However, the use of wide-field-OCTA revealed no signs of re-perfusion of retinal vessels post anti-VEGF treatment. Further prospective studies with long follow-up and large sample size are still needed to draw solid conclusions.

Indexed as

Diabetes MellitusDiabetic RetinopathyFluorescein AngiographyFundus OculiHumansPerfusionProspective StudiesRetinal VesselsTomography, Optical CoherenceVascular Endothelial Growth Factor AVascular Endothelial Growth Factor A

Identifiers

PMID34408316
PMCPMC8956693
OpenAlexW3196268641

What OpenQuestion holds

Textmetadata
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.