Evidence map›Paper›PMID 36114830›Full record

ArticleOphthalmology and therapy2022

Impact of Intravitreal Anti-VEGF Therapy on Microperimetry of the Retinal Nonperfusion Areas of Patients with Proliferative Diabetic Retinopathy.

Mariacristina Parravano, Daniele De Geronimo, Riccardo Sacconi, Daniela Giannini, Eliana Costanzo, Serena Fragiotta, Pasquale Viggiano, Monica Varano, Giuseppe Querques

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. OCTA in age-related macular degeneration: consensus on practical guidelines for optimal imaging strategies across different clinical scenarios.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  4. Review
  5. Article
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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

9 authors at 4 institutions in 1 country.

Mariacristina Parravano *IRCCS-Fondazione Bietti, Via Livenza 3, 00198, Rome, RM, Italy. mcparravano@gmail.com.ORCID http://orcid.org/0000-0002-2223-7311
Daniele De Geronimo *IRCCS-Fondazione Bietti, Via Livenza 3, 00198, Rome, RM, Italy.
Riccardo SacconiDepartment of Ophthalmology, University Vita-Salute, IRCCS San Raffaele, Milan, Italy.
Daniela GianniniIRCCS-Fondazione Bietti, Via Livenza 3, 00198, Rome, RM, Italy.
Eliana CostanzoIRCCS-Fondazione Bietti, Via Livenza 3, 00198, Rome, RM, Italy.
Serena FragiottaOphthalmology Unit, Department NESMOS, S. Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Pasquale ViggianoDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari "Aldo Moro", Bari, Italy.
Monica VaranoIRCCS-Fondazione Bietti, Via Livenza 3, 00198, Rome, RM, Italy.
Giuseppe QuerquesDepartment of Ophthalmology, University Vita-Salute, IRCCS San Raffaele, Milan, Italy.
Fondazione G.B. Bietti · ITVita-Salute San Raffaele University · ITSapienza University of Rome · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study assessed retinal nonperfusion area (NPA) changes after anti-VEGF treatment in proliferative diabetic retinopathy (PDR) eyes using swept-source widefield optical coherence tomography angiography (SS-WF OCTA) and investigated the relationships with the microperimetry (MP-1) functional changes observed in the same areas.

methodsThis was a single-center observational case series. Seven PDR eyes naïve to treatment that received three monthly intravitreal injections of aflibercept were included. All eyes were imaged with SS-WF OCTA and MP-1 at baseline (T0) and 1 month after the third injection (T1). The regions of interest (ROIs) with evidence of NPAs at T0 OCTA images were selected. Qualitative and quantitative [perfusion density (PD) and vessel length density (VLD)] OCTA vascular changes in the selected ROIs between T0 and T1 were compared with the corresponding MP-1 functional changes [mean sensitivity (MS)].

resultsTwenty-five ROIs were selected. In 52% of the ROIs, an improvement in MS was observed at T1, which was associated with qualitative and quantitative improvement in 92.3% of NPAs by OCTA. In 32% of the ROIs, MS worsening was observed at T1, which was associated with qualitative and quantitative worsening in 75% of NPAs by OCTA. Positive correlations between MS and both PD and VLD were found. Fisher's test showed an association between the improvements in MP and VLD.

conclusionsAn association between OCTA and MP-1 parameter changes was found. The concomitant functional and morphological improvement in half of the ROIs suggests that anti-VEGF treatment may promote retinal changes that result in a better functional response.

Indexed as

AfliberceptIntravitreal injectionsMicroperimetryOCT angiographyProliferative diabetic retinopathyType 2 diabetes

Identifiers

PMID36114830
PMCPMC9587173
OpenAlexW4296162226

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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.