Evidence map›Paper›PMID 41354935›Full record

ArticleInternational journal of retina and vitreous2025

Intraocular inflammation following aflibercept 8 mg: real-world data from a multicentre retrospective observational study.

Lea-Noelle Stoehr, Philip Wakili, Warda Darwisch, Franziska Seufert, Robert P Finger, Peter Szurman, Boris V Stanzel

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Systemic and ocular complications related to intravitreal administration of anti-VEGF agents.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    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

7 authors.

Lea-Noelle StoehrEye Clinic Sulzbach, Knappschaft Hospitals Saar, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Germany.
Philip WakiliEye Clinic Sulzbach, Knappschaft Hospitals Saar, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Germany.
Warda DarwischMedical Faculty Mannheim, University Eye Clinic Mannheim, University of Heidelberg, Mannheim, Germany.
Franziska SeufertCurschmann Ophthalmology Practice, Ludwigshafen, Germany.
Robert P FingerMedical Faculty Mannheim, University Eye Clinic Mannheim, University of Heidelberg, Mannheim, Germany.
Peter SzurmanEye Clinic Sulzbach, Knappschaft Hospitals Saar, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Germany.
Boris V StanzelEye Clinic Sulzbach, Knappschaft Hospitals Saar, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Germany. Boris.Stanzel@Knappschaft-Kliniken.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world data on intraocular inflammation (IOI) following aflibercept 8 mg is limited. We report on a cluster of 12 eyes with aflibercept 8 mg-associated IOI detected at three centres between July 2024 and June 2025.

methodPrimary outcome measures of the retrospective observational study were the classification of severity according to the SUN classification and the determination of the incidence of aflibercept 8 mg-associated IOIs. The inclusion criterion was on-label therapy in treatment-naive and patients switched to aflibercept 8 mg who developed sterile inflammation within 1 to 14 days after injection without a history of uveitis. Data was collected by means of medical history, clinical biomicroscopic examination, optical coherence tomography and fluorescein angiography. The incidence was calculated based on the number of injections performed at the three centres between July 2024 and March 2025.

resultsThe case series comprises 12 eyes from 10 patients (7 women, 3 men) with post-injection IOI after an average of 1.9 days (SD: 0.6); nAMD (80.0%) / DME (20.0%). IOI occurred on average after 2.3 injections (SD: 1.6), with 91.7% pretreated without IOI event (including aflibercept 2 mg (66.7%)). Anterior uveitis developed in 16.7%, intermediate uveitis in 66.7% and posterior uveitis in 16.7%. The incidence was 1.4% per aflibercept 8 mg injection (11 eyes out of 775 injections; 95% CI: 0.6–2.2%).

conclusionInitial real-world data indicate a slightly increased risk of IOIs with aflibercept 8 mg compared to the pivotal studies, some of which are fulminant and difficult to distinguish from endophthalmitis.

Indexed as

Adverse eventsAflibercept 8 mgIntraocular inflammationReal-world evidence

Identifiers

PMID41354935
PMCPMC12781524

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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.