Evidence map›Paper›PMID 41703113›Full record

Trial reportScientific reports2026

Artificial Intelligence-based characterization of therapeutic response in fluid types and volumes influencing retinal function in neovascular age-related macular degeneration.

Sophie Frank-Publig, Wolf Buehl, Virginia Mares, Philipp Fuchs, Leonard M Coulibaly, Anna Eidenberger, Ulrike Scheschy, Georg Faustmann, Markus Gumpinger, Emese Sükei and 4 more

Abstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Sophie Frank-PubligDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Wolf BuehlDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Virginia MaresDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Philipp FuchsDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Leonard M CoulibalyDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Anna EidenbergerDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Ulrike ScheschyDepartment of Ophthalmology, Landesklinikum Horn, Horn, Austria.
Georg FaustmannChristian Doppler Lab for Artificial Intelligence in Retina, Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Markus GumpingerDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Emese SükeiDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Hrvoje BogunovicChristian Doppler Lab for Artificial Intelligence in Retina, Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Gregor S ReiterDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Stefan SacuDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria. stefan.sacu@meduniwien.ac.at.
Ursula Schmidt-ErfurthDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the real world, there are variable treatment strategies and therapeutic effects of anti-VEGF therapy in neovascular age-related macular degeneration (nAMD). To investigate mechanisms of fluid resolution in pretreated and treatment-naïve eyes, we aimed to compare treatment response through assessment of fluid types, distribution and volumes. 289 eyes of 289 real-world patients with active nAMD were included in a randomized phase III clinical trial (EudraCT-Number: 2019-003133-42). For this subanalysis, data from baseline and month 1 was collected in 285 eyes. All eyes received treatment at baseline, OCT imaging (Spectralis, Heidelberg Engineering, Germany) and standardized functional testing at both visits. Subretinal fluid (SRF), intraretinal fluid (IRF), pigment epithelial detachment (PED) were automatically quantified. Absolute and relative fluid resolution and BCVA changes were compared. Treatment-naïve eyes had higher IRF volumes before treatment and a higher reduction of IRF (p < 0.01), with no differences for SRF and PED. Accordingly, treatment-naïve patients had a significantly higher gain of BCVA with + 4.6 letters compared to + 1.2 letters (p < 0.01). Precise quantification and compartment distinctions of retinal fluid revealed treatment-naïve eyes showed greater resolution rates for IRF with consecutive significant visual improvement, suggesting that IRF dynamics are particularly relevant and volume-related, especially in the acute phase.

Indexed as

Angiogenesis InhibitorsArtificial IntelligenceMacular DegenerationRetinaSubretinal FluidAgedAged, 80 and overFemaleHumansMaleRanibizumabTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor AArtificial intelligenceImagingIntraretinal fluidNeovascular age-related macular degenerationOptical coherence tomographyRetina

Identifiers

PMID41703113
PMCPMC13004830

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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.