Evidence map›Paper›PMID 41054667›Full record

ReviewCureus2025

Retreatment and Reactivation Rates Following Bevacizumab, Ranibizumab, Aflibercept, and Laser for Retinopathy of Prematurity: A Systematic Review and Meta-Analysis.

Arwa Alghamdi, Faisal Alasmari, Tala Aletani, Suzana Ezzi, Sereen Alharbi, Turki F Alasmari, Husain Alalgum, Muhannad Bin Sawad, Karim Talaat

Abstract readReview
In one paragraph

Review in Cureus, 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

9 authors.

Arwa AlghamdiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Faisal AlasmariCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Tala AletaniCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Suzana EzziCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Sereen AlharbiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Turki F AlasmariCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Husain AlalgumCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Muhannad Bin SawadCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Karim TalaatDepartment of Vitreoretinal Surgery, Ophthalmology, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retinopathy of prematurity (ROP) is a vasoproliferative retinal disorder that affects preterm newborns. Although laser therapy has been the standard of care for ROP for decades, the use of anti-VEGF agents for ROP has recently become widespread. This systematic review and meta-analysis measures and compares the retreatment and reactivation rates following laser therapy versus anti-vascular endothelial growth factor (VEGF) agents and laser for ROP. We searched Medline, Scopus, Clinical Trial, and Cochrane Library databases for all randomized controlled trials (RCTs) that have used bevacizumab, ranibizumab, aflibercept, or laser therapy for ROP. We assessed studies for risk of bias by the Critical Appraisal Skills Programme (CASP) criteria. Review Manager (RevMan) (2014) Version 5.3 was utilized to carry out the meta-analysis for our study. Five studies were included in this review. The meta-analysis has revealed that laser treatment is associated with a significantly lower risk of retreatment than anti-VEGF medications (RR = 2.11, 95% CI 1.46-3.05, p < 0.0001, I² = 92%). In the subgroup analysis conducted based on the type of anti-VEGF medication used, studies using Aflibercept and Ranibizumab reported higher retreatment rates than studies with Bevacizumab. Similarly, there was a significant difference in terms of the reactivation rates, with patients who underwent laser therapy exhibiting lower reactivation rates than the anti-VEGF groups (RR = 2.00, 95% CI: 1.47 to 2.72, p < 0.0001, I² = 93%). The subgroup analysis comparing types of anti-VEGF agents has also displayed both ranibizumab and aflibercept to have higher reactivation rates than bevacizumab. This meta-analysis demonstrates that laser therapy generally presents a notably reduced risk of retreatment and reactivation compared to ranibizumab and aflibercept, in line with prior research. Conversely, the study reveals that bevacizumab outperforms laser therapy, exhibiting lower rates of retreatment and reactivation.

Indexed as

antivascular endothelial growth factoranti-vegflaser therapyretinaretinopathy of prematurity

Identifiers

PMID41054667
PMCPMC12497353

What OpenQuestion holds

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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.