Evidence map›Paper›PMID 37393395›Full record

ArticleEye (London, England)2024

Lesion area progression in eyes with neovascular age-related macular degeneration treated using a proactive or a reactive regimen.

Mariano Cozzi, Davide Monteduro, Raffaele Antonio Esposito, Kimberly L Spooner, Samantha Fraser-Bell, Giovanni Staurenghi, Francesco Romano, Matteo Airaldi, Andrew A Chang, Alessandro Invernizzi

Abstract read
In one paragraph

Article in Eye (London, England), 2024. 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
–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

7 citing papers in PubMed.

  1. Article
  2. Automated measurement of macular neovascularization lesion size in nAMD using AI segmentation.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Article
  4. Hyperreflective material evolution patterns during long term anti-VEGF therapy in neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  5. Article
  6. Article
  7. 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

10 authors.

Mariano CozziEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Davide MonteduroEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Raffaele Antonio EspositoEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Kimberly L SpoonerSydney Retina Clinic, Sydney, Australia.
Samantha Fraser-BellSydney Retina Clinic, Sydney, Australia.ORCID 0000-0001-5646-9359
Giovanni StaurenghiEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Francesco RomanoEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Matteo AiraldiEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy.
Andrew A ChangSydney Retina Clinic, Sydney, Australia.
Alessandro InvernizziEye Clinic, Department of Biomedical and Clinical Science, University of Milan, Milan, Italy. alessandro.invernizzi@gmail.com.ORCID 0000-0003-3400-1987

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the change in lesion area over 4 years of follow-up in eyes with neovascular age-related macular degeneration (nAMD) treated with anti-vascular endothelial growth factor (VEGF) agents using either a proactive or a reactive regimen in routine clinical practice.

methodsThis was a multicentre, retrospective comparative study. Totally, 202 treatment-naïve nAMD eyes (183 patients) received anti-VEGF therapy according to a proactive (n = 105) or reactive (n = 97) regimen. Eyes were included if they had received anti-VEGF injections for a period of at least 4 years and had baseline fluorescein angiography and annual optical coherence tomography (OCT) imaging. Two masked graders independently delineated the lesion's margins from serial OCT images and growth rates were calculated.

resultsAt baseline, the mean [SD] lesion area was 7.24 [5.6] mm

conclusionsEyes treated using a reactive strategy had an increased lesion area and worse visual outcomes at 4 years. By contrast, the proactive regimen was associated with fewer recurrences of active disease, shrinkage of the lesion area, and better vision at four years.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsHumansIntravitreal InjectionsRanibizumabReceptors, Vascular Endothelial Growth FactorRetrospective StudiesTomography, Optical CoherenceVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor A

Identifiers

PMID37393395
PMCPMC10764886

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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.