Evidence map›Paper›PMID 40787936›Full record

ArticleInvestigative ophthalmology & visual science2025

Intraocular Pressure After Anti-Vascular Endothelial Growth Factor Injection in Eyes With a Mineralized Bruch's Membrane Caused by Pseudoxanthoma Elasticum.

Kristin Raming, Isabel Saltenberger, Jonathan Meinke, Sara Risseeuw, Karl Mercieca, Philipp Herrmann, Petrus Chang, Thomas Ach, Redmer van Leeuwen, Jeannette Ossewaarde-van Norel and 3 more

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. 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
–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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Kristin RamingDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Isabel SaltenbergerDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Jonathan MeinkeDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Sara RisseeuwDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht University, the Netherlands.
Karl MerciecaDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Philipp HerrmannDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Petrus ChangDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Thomas AchDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Redmer van LeeuwenDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht University, the Netherlands.
Jeannette Ossewaarde-van NorelDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht University, the Netherlands.
Maximilian PfauDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Frank G HolzDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Kristina PfauDepartment of Ophthalmology, University of Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess acute IOP changes after anti-VEGF injections in patients with Pseudoxanthoma elasticum (PXE) compared to other retinal diseases. Methods: Twenty eyes of patients with PXE (mean age 63.4 ± 6.4 years) and 30 control eyes (mean age 64.8 ± 11.8 years) were included. IOP was measured prior and one, five, and 15 minutes after intravitreal injection of 50 µL anti-VEGF agent. The post-injection IOP curve was modeled by an exponential decay function, and the resulting exponential time constant (tau) served as the outcome variable in the multivariable models. Results: IOP raised markedly after anti-VEGF injection in both groups, without significant difference in PXE compared to controls. The median tau in the PXE group was 8.6 minutes (interquartile range [IQR] = 8.2-9.4) versus 7.6 minutes (IQR = 6.8-8.9) in the control group (P = 0.02). Seven PXE patients and one control patient reported a previous transient vision loss after anti-VEGF injection. Univariate analysis showed that the diagnosis of PXE (1.12, P = 0.006), angioid streak length (0.12, P = 0.01), prior transient vision loss (1.77, P = 0.001), peripheral artery disease (0.96, P = 0.04) and the number of previous anti-VEGF injections (0.02, P = 0.014) were significantly associated with higher tau values. Conclusions: The time to restore to baseline IOP after anti-VEGF injection is longer in PXE patients. Given the early need for anti-VEGF treatment, frequent injections, and the possible heightened vulnerability (e.g., optic disc drusen) in PXE patients, clinical trials on pre-injection IOP-lowering measures warrant consideration.

Indexed as

Angiogenesis InhibitorsBruch MembraneIntraocular PressurePseudoxanthoma ElasticumAgedBevacizumabFemaleHumansIntravitreal InjectionsMaleMiddle AgedRanibizumabTonometry, OcularVascular Endothelial Growth Factor AAngiogenesis InhibitorsBevacizumabRanibizumabVascular Endothelial Growth Factor A

Identifiers

PMID40787936
PMCPMC12352511

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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.