Evidence map›Paper›PMID 35034223›Full record

ArticleInternational ophthalmology2022

Polypoidal choroidal vasculopathy in pachychoroid: combined treatment with photodynamic therapy and aflibercept.

Maria Vadalà, Massimo Castellucci, Giulia Guarrasi, Giovanni Cillino, Vincenza Maria Elena Bonfiglio, Alessandra Casuccio, Salvatore Cillino

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Pachychoroid Spectrum Disorders: An Updated Review.Journal of ophthalmic & vision research
    Review
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

7 authors at 1 institution in 1 country.

Maria VadalàBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy. maria.vadala@unipa.it.ORCID http://orcid.org/0000-0002-2726-698X
Massimo CastellucciBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy. maria.vadala@unipa.it.ORCID http://orcid.org/0000-0003-2284-6552
Giulia GuarrasiBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy.ORCID http://orcid.org/0000-0002-0819-5610
Giovanni CillinoBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy.ORCID http://orcid.org/0000-0003-3094-9092
Vincenza Maria Elena BonfiglioBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy.ORCID http://orcid.org/0000-0001-5468-0978
Alessandra CasuccioDepartment of Health Promotion, Internal Medicine and of Excellence, University of Palermo, Mother-Child Care, Palermo, Italy.ORCID http://orcid.org/0000-0002-5676-9535
Salvatore CillinoBiomedicine, Neuroscience and Advance Diagnostic Department, Ophthalmology Institute, University of Palermo, Villa Belmonte, Via Cardinale Rampolla 1, 90142, Palermo, Italy.ORCID http://orcid.org/0000-0002-5721-6772
University of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate the effects of combined therapy using intravitreal Aflibercept (IVA) and photodynamic therapy (PDT) on polypoidal choroidal vasculopathy related to pachychoroid disease (PPCV).

methodsPatients with PPCV were treated with PDT combined with 3 IVA injections on a monthly basis, followed by pro re nata criteria. The 12-month follow-up consisted of multiple revaluations of visual acuity and SS-OCT parameters of clinical activity.

resultsNineteen eyes were included in the study; mean age was 65.5 years. Visual acuity improved after 12 months (0.35 ± 0.25 to 0.2 ± 0.20 logMAR, p = 0.005). Percentage of eyes with intraretinal and subretinal fluid reduced from baseline to the 12-month follow-up (from 52.6 to 10.5%, p = 0.12, and from 89.5 to 5.3% p = 0.0009, respectively). Central retinal and mean macular thicknesses reduced (258 ± 39.6 to 204.8 ± 38.8 μm p = 0.04 and 293.8 ± 32.1 to 248.1 ± 29.6 μm p = 0.017, respectively). Central choroidal and mean choroidal thicknesses also displayed a reduction (328.6 ± 54.9 to 289.8 ± 44.6 μm p = 0.001 and 314.5 ± 55.3 to 287.9 ± 47.6 μm p = 0.015, respectively). The mean number of injections was 4.6/year.

conclusionThe results support the use of a combined therapy with Aflibercept and PDT in PPCV. This treatment would act in synergy, with anti-VEGF controlling exudation and PDT closing the aneurysmal vessel and reducing choroidal congestion.

Indexed as

PhotochemotherapyAgedAngiogenesis InhibitorsFluorescein AngiographyHumansIntravitreal InjectionsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAfliberceptPachychoroidPhotodynamic therapyPolypoidal choroidal vasculopathySwept Source OCT

Identifiers

PMID35034223
OpenAlexW4220914044

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.