Evidence map›Paper›PMID 40232637›Full record

ArticleOphthalmology and therapy2025

Adherence to Anti-VEGF Treatment in Patients with Neovascular Age-Related Macular Degeneration: A Real-World Study.

Mekala Shellvarajah, Vuong Nguyen, Sarah Steinmann, Mark C Gillies, Alexandros Sagkriotis, Daniel Barthelmes

Abstract read
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Article in Ophthalmology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Aflibercept 8 mg for diabetic macular edema and neovascular age-related macular degeneration: an italian expert consensus paper.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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

6 authors.

Mekala ShellvarajahDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Frauenklinikstrasse 24 8091, Zurich, Switzerland.
Vuong NguyenMacular Research Group, Save Sight Institute, University of Sydney, Sydney, Australia.
Sarah SteinmannDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Frauenklinikstrasse 24 8091, Zurich, Switzerland. sarah.steinmann@usz.ch.
Mark C GilliesMacular Research Group, Save Sight Institute, University of Sydney, Sydney, Australia.
Alexandros SagkriotisNovartis Pharma AG, Basel, Switzerland.
Daniel BarthelmesDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Frauenklinikstrasse 24 8091, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe evolution of treatment patterns in neovascular age-related macular degeneration (nAMD) warrants investigation into the impact of patients' adherence to anti-vascular endothelial growth factor (VEGF) treatment on visual outcomes. This retrospective, non-randomized, non-comparative study aimed to investigate real-world adherence to anti-VEGF treatment.

methodsPatient (eyes) (≥ 50 years) with a diagnosis of nAMD who had a first injection of aflibercept or ranibizumab between January 2016 and December 2018 and 12 months of follow-up were included. Visual acuity (VA; logMAR letters) and duration of injection intervals were recorded. Adherence was defined as < 20% of visits deviating from the schedule by ≥ 14 days.

resultsOverall, 133 patient eyes were included: 129 adherent, and four non-adherent. Mean (standard deviation) baseline VA was 57.0 (23.6) and 53.8 (35.3) letters in adherent and non-adherent patient eyes, respectively. Mean change in VA by month 12 was higher in adherent (6.3 letters) than non-adherent patient eyes (- 11 letters). Compared with the previous visit, adherent visits were associated with a mean increase in VA of 0.67 letters and non-adherent visits with a decrease of 2.30 letters.

conclusionsThese results emphasize the importance of adherence to appropriate dosing regimens to optimize visual outcomes in patients with nAMD.

Indexed as

AdherenceAfliberceptAge-related macular degeneration (AMD)Anti-VEGFDisease activityRanibizumabVisual acuity

Identifiers

PMID40232637
PMCPMC12069175

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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.