Evidence map›Paper›PMID 34604691›Full record

ArticleJournal of vitreoretinal diseases2021

Brolucizumab-associated intraocular inflammation in eyes without retinal vasculitis.

Andre J Witkin, Paul Hahn, Timothy G Murray, J Fernando Arevalo, Kevin J Blinder, Netan Choudhry, Geoff G Emerson, Roger A Goldberg, Stephen J Kim, Joel Pearlman and 3 more

Abstract read
In one paragraph

Article in Journal of vitreoretinal diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Systemic and ocular complications related to intravitreal administration of anti-VEGF agents.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Retinal vasculitis following intravitreal pegcetacoplan administration.American journal of ophthalmology case reports · 2024
    Article
  9. Comparison of functional and morphologic changes between brolucizumab and faricimab in neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  10. Article
  11. Clinical features and associated factors of intraocular inflammation following intravitreal brolucizumab as switching therapy for neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  12. Review
  13. Review
  14. Review
  15. Faricimab-Associated Retinal Vasculitis.Journal of vitreoretinal diseases
    Article
  16. 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

13 authors.

Andre J WitkinTufts Medical Center, Boston, MA.
Paul HahnNJ Retina, Teaneck, NJ.
Timothy G MurrayMurray Ocular Oncology and Retina, Miami, FL.
J Fernando ArevaloWilmer Eye Institute at Johns Hopkins Hospital, Baltimore, MD.
Kevin J BlinderThe Retina Institute, St. Louis, MO.
Netan ChoudhryVitreous Retina Macula Specialists of Toronto, Toronto, Canada.
Geoff G EmersonRetina Center of Minnesota, Minneapolis, MN.
Roger A GoldbergBay Area Retina Associates, Walnut Creek, CA.
Stephen J KimVanderbilt University Medical Center, Nashville, TN.
Joel PearlmanRetinal Consultants, Sacramento, CA.
Eric W SchneiderTennessee Retina, Nashville, TN.
Homayoun TabandehRetina-Vitreous Associates Medical Group, Los Angeles, CA.
Robert W WongAustin Retina Associates, Austin, TX.

Funding

Oxidative stress and innate immunity impair the visual cycleR01EY027691 · NEI · JOHNS HOPKINS UNIVERSITY · PI HANDA, JAMES T · 2017 to 2021
$2.7M
NEI NIH HHS R01 EY027691
6 · The paper itself

Abstract

purposeTo analyze a series of eyes with brolucizumab-associated intraocular inflammation (IOI) without retinal vasculitis reported to the American Society of Retina Specialists (ASRS).

methodsThe ASRS Research and Safety in Therapeutics (ReST) Committee analyzed clinical characteristics from submitted reports of IOI after brolucizumab. Eyes with retinal vasculitis or that received intraocular antibiotics were excluded.

resultsForty-nine eyes of 45 patients were collected. Mean visual acuity (VA) at baseline was 20/49 (range 20/20 - 5/200). Patients presented with IOI a mean of 24 (range 3-63) days after most recent brolucizumab injection; 61% presented for an unscheduled visit while 39% presented at routine follow-up. Mean VA at IOI presentation was 20/67 (range 20/20 - 3/200). Most common symptoms were floaters (78%) and blurry vision (76%). Pain (20%) and redness (16%) were less common; 3 (6%) eyes were asymptomatic. IOI was anterior only in 18%, posterior only in 31%, and both anterior and posterior in 51% of eyes. Treatment included topical steroids alone in 67% eyes, while 10% eyes received no treatment. Mean VA at last follow-up was 20/56 (range 20/20 - 1/200). Three (6%) eyes lost 3 or more lines and 1 (2%) eye lost 6 or more lines.

conclusionsBrolucizumab-associated IOI without retinal vasculitis typically presented with a delayed onset of a few weeks. Often, visual acuity decline was relatively mild. Most symptoms resolved and nearly all had a return to baseline VA, but a small percentage of patients had a significant decrease in VA at last follow-up.

Identifiers

PMID34604691
PMCPMC8486264

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Registered trials

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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.