Evidence map›Paper›PMID 38494487›Full record

ArticleBMC ophthalmology2024

Preserving visual acuity: a compelling 12-year case study of controlling neovascular age-related macular degeneration.

Rita O Tomás, António Campos, Nuno Oliveira, Pedro Soares, João P Sousa

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Inflammation and Vasculitis Related to Brolucizumab.Journal of clinical medicine · 2024
    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

5 authors at 3 institutions in 1 country.

Rita O TomásOphtalmology Department, Centro Hospitalar de Leiria, R. de Santo André, Leiria, 2410-197, Portugal.
António CamposOphtalmology Department, Centro Hospitalar de Leiria, R. de Santo André, Leiria, 2410-197, Portugal. antonio.figueiredo@chleiria.min-saude.pt.
Nuno OliveiraOphtalmology Department, Centro Hospitalar de Leiria, R. de Santo André, Leiria, 2410-197, Portugal.
Pedro SoaresSoftware Engineering Department, Doing Software Right Europe (DSRE), Porto, Portugal.
João P SousaOphtalmology Department, Centro Hospitalar de Leiria, R. de Santo André, Leiria, 2410-197, Portugal.
Instituto Politécnico de Leiria · PTCritical Software (Portugal) · PTUniversity of Beira Interior · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn neovascular age-related macular degeneration (nAMD) trials, anti-VEGF injection frequency decreases after the first year, while outcomes remain primarily related to the number of injections. To the best of our knowledge, there are no reports of maintaining the best corrected visual acuity (BCVA) for more than 7 years in extension studies.

objectiveTo report a 12-year follow-up of a real-world case of nAMD where BCVA was preserved from declining. CASE DESCRIPTION: A 67-year-old Caucasian female presented to our department in June 2010 due to decreased vision in her left eye (LE) within the preceding months. Examination showed a BCVA of 85 letters (L) in the right eye (RE) and 35 L in the LE. Fundus examination showed drusen in the macula of both eyes. Macular edema, loss of the macular lutein pigment, macular hypo/hyperpigmentation were observed in the LE. A diagnosis of Type 2 choroidal neovascular membrane (CNV) in the LE was established and within two months a Type 1 CNV developed in the RE. She undergone 9 injections of bevacizumab (six) and ranibizumab (three) within the first year of treatment in the LE and seven injections of ranibizumab within the first year in the RE.

resultsThe LE had a mean of 5.2 injections per year, and the RE had a mean of 7.5 injections per year, from 2010 to 2022. RE's BCVA dropped by 8L (85L to 77L) and central retinal thickness (CRT) increased by 16 μm (276 μm to 292 μm) while LE's BCVA increased by 28L (35L to 63L) and CRT decreased by 369 μm (680 μm to 311 μm), at the twelfth year.

conclusionsAlthough the final visual outcome depends on baseline BCVA and lesion type or size, the number of injections is paramount in preserving BCVA and achieving favorable functional outcomes in nAMD, even after 12 years of treatment.

Indexed as

Choroidal NeovascularizationMacular EdemaAgedAngiogenesis InhibitorsFemaleHumansIntravitreal InjectionsRanibizumabVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor ANeovascular age-related macular degenerationNumber of injectionsPro re nataReal-worldTreat and extendVisual acuity

Identifiers

PMID38494487
PMCPMC10946101
OpenAlexW4394760794

What OpenQuestion holds

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LicenceCC BY
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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.