Evidence map›Paper›PMID 35908993›Full record

ArticleJournal francais d'ophtalmologie2022

The importance of monitoring wet age-related macular degeneration patients during Coronavirus disease 19 pandemic: A retrospective study of assessment of functional and structural outcomes.

G N Tsiropoulos, R Vallee, D Gallo Castro, A Ambresin

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Article in Journal francais d'ophtalmologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

G N TsiropoulosSwiss Visio Montchoisi, avenue du Servan 38, 1006 Lausanne, Switzerland; RétinElysée, Ophthalmology Center, avenue d'Ouchy 14, 1006 Lausanne, Switzerland; Aristotle University of Thessaloniki (A.U.Th), Department of Health Sciences, Medical School, Thessaloniki, Greece.
R ValleeSwiss Visio Montchoisi, avenue du Servan 38, 1006 Lausanne, Switzerland; Laboratory of Mathematics and Applications (LMA) CNRS 7348, Data Analysis and Computations Through Imaging Modeling Mathematics (DACTIM team) University of Poitiers, 15, rue de l'Hôtel-Dieu, TSA 71117, 86000 Poitiers, France.
D Gallo CastroSwiss Visio Montchoisi, avenue du Servan 38, 1006 Lausanne, Switzerland; RétinElysée, Ophthalmology Center, avenue d'Ouchy 14, 1006 Lausanne, Switzerland.
A AmbresinSwiss Visio Montchoisi, avenue du Servan 38, 1006 Lausanne, Switzerland; RétinElysée, Ophthalmology Center, avenue d'Ouchy 14, 1006 Lausanne, Switzerland; University of Lausanne (UNIL), Faculty of Biology and Medicine, 1015 Lausanne, Switzerland. Electronic address: AAmbresin@swissvisio.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntravitreal anti-vascular endothelial growth factor (anti-VEGF) injections are the gold standard treatment for wet age-related macular degeneration (wet AMD). Coronavirus disease 2019 (COVID-19) has led to the cancellation of many scheduled intravitreal anti-VEGF injection visits. We compared the functional and structural visual outcomes of wet AMD patients who did not adhere to their planned intervals (group 1) with those who did (group 2).

methodsWet AMD patients of Swiss Visio Montchoisi and RétinElysée were included. Best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) changes between their first visit after the end of the first national lockdown in Switzerland (27 April 2020, first post-lockdown visit) and their last visit before the beginning of the first national lockdown in Switzerland (13 March 2020, last pre-lockdown visit) were assessed. The BCVA outcome was defined as unfavorable when there was a loss of≥5 ETDRS letters in the first post-lockdown visit compared to the BCVA at last pre-lockdown visit. The OCT outcome was defined as unfavorable when there was an increase in at least one of the parameters, intraretinal fluid (IRF), subretinal fluid (SRF), or pigment epithelial detachment (PED), at the first post-lockdown visit compared to the last pre-lockdown visit. MAIN

resultsGroup 1 (89 patients, 109 eyes) had a 13.41% greater rate of unfavorable BCVA outcomes and a 38.27% greater rate of unfavorable OCT outcomes than group 2 (96 patients, 122 eyes) (P=0.04, P<0.0001, respectively). Multivariate analysis showed that the more the patients deviated from their programmed injections and the higher the BCVA pre-lockdown, the higher the rate of unfavorable BCVA outcomes (P=0.03 and P=0.02, respectively). OCT outcomes were not a predictive factor for an unfavorable BCVA outcome.

conclusionsThe cancellation of many intravitreal anti-VEGF injection appointments resulted in worse functional and structural outcomes in wet AMD patients. The COVID-19 pandemic led many patients to refrain from their routine intravitreal anti-VEGF injection appointments, allowing us to analyze the role of designated intervals in the treatment of wet AMD. During any future lockdown due to COVID-19 or similar circumstances, continuity of care for wet AMD patients should be maintained.

Indexed as

COVID-19Wet Macular DegenerationAngiogenesis InhibitorsCommunicable Disease ControlEndothelial Growth FactorsHumansIntravitreal InjectionsPandemicsRanibizumabRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsEndothelial Growth FactorsRanibizumabVascular Endothelial Growth Factor AAnti-facteur de croissance endothélial vasculaireAnti-vascular endothelial growth factorAnti-VEGFCoronavirus disease 2019COVID-19Dégénérescence maculaire liée à l’âge humideDMLAMaladie à coronavirus 2019Wet age-related macular degenerationWet AMD

Identifiers

PMID35908993
PMCPMC9257228

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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.