Evidence map›Paper›PMID 41903075›Full record

ArticleOphthalmology and therapy2026

Six-Year Outcomes in Subjects with Polypoidal Choroidal Vasculopathy in the PLANET Study.

Kelvin Yi Chong Teo, Young Hee Yoon, Shigeru Honda, Kyu Hyung Park, Hidenori Takahashi, Ryuichi Ideta, Tetsuju Sekiryu, Akira Hirata, Akira Obana, Ryusaburo Mori and 15 more

Erratum issuedAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Pachychoroid diseases of the macula: an update.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Kelvin Yi Chong TeoSingapore Eye Research Institute, Singapore National Eye Center, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Young Hee YoonAsan Medical Centre, Seoul, South Korea.
Shigeru HondaOsaka Metropolitan University Hospital, Osaka, Japan.
Kyu Hyung ParkSeoul National University, Seoul, South Korea.
Hidenori TakahashiDepartment of Ophthalmology, Jichi Medical University, Shimotsuke, Japan.
Ryuichi IdetaIdeta Eye Hospital, Kumamoto, Japan.
Tetsuju SekiryuDepartment of Ophthalmology, Fukushima Medical University, Fukushima, Japan.
Akira HirataHayashi Eye Hospital, Fukuoka, Japan.
Akira ObanaSeirei Hamamatsu General Hospital, Hamamatsu, Japan.
Ryusaburo MoriNihon University Hospital Ophthalmology, Tokyo, Japan.
Shih-Jen ChenTaipei Veterans General Hospital, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.
Caroline CheeNational University of Singapore, Singapore, Singapore.
James G WongStrathfield Retina Clinic, Strathfield, Australia.
Timothy Y Y LaiDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.
Ian WongUniversity of Hong Kong, Pok Fu Lam, Hong Kong.
Nick FungUniversity of Hong Kong, Pok Fu Lam, Hong Kong.
Won Ki LeeNune Eye Hospital, Seoul, South Korea.
Hiroko TerasakiNagoya University Hospital, Nagoya, Japan.
Shih-Chou ChenKaoshiung Veterans General Hospital, Kaohsiung, Taiwan.
Takafumi MiyataniKyoto Prefectural University of Medicine, Kyoto, Japan.
Tomohiro IidaDepartment of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan.
Ryo ObataThe University of Tokyo Hospital, Tokyo, Japan.
Tobias MachewitzBayer AG, Berlin, Germany.
Sergio LealBayer AG, Berlin, Germany.
Chui Ming Gemmy CheungSingapore Eye Research Institute, Singapore National Eye Center, 11 Third Hospital Avenue, Singapore, 168751, Singapore. gemmy.cheung.c.m@singhealth.com.sg.ORCID http://orcid.org/0000-0003-3358-3516

Funding

National Medical Research Council NMRC/LCG23 May/0032National Medical Research Council NMRC/OFLCG/004a/2018National Medical Research Council STaR 24-Jan-0005
6 · The paper itself

Abstract

introductionThe PLANET study demonstrated that intravitreal aflibercept 2 mg injection (IAI) monotherapy was non-inferior to IAI with rescue photodynamic therapy (PDT) for polypoidal choroidal vasculopathy (PCV) at 2 years. This follow-up study assessed the long-term outcomes 6 years after initiation of IAI therapy in the PLANET cohort.

methodsThis was a non-interventional cohort study of 72 patients with PCV from six international sites who originally completed the PLANET study. Outcomes were assessed during a recall visit at ~6 years from PLANET enrollment. Data collected included best-corrected visual acuity (BCVA), optical coherence tomography, treatment exposure, and adverse events. Patients were treated according to standard of care after exiting from the PLANET study.

resultsOf 72 participants, 32 were randomized to IAI monotherapy and 40 to IAI with rescue PDT. Of those randomized to IAI with rescue PDT, 11 (15.2%) received rescue PDT during the entire study period over 6 years. Mean ± standard deviation (SD) BCVA improved by 14.6 ± 10.3 letters at 2 years but declined to baseline by 6 years (-0.3 ± 21.8 letters). At year 6, 45.8% of eyes had BCVA ≥ 69 Early Treatment Diabetic Retinopathy Study (ETDRS) letters, while 23.6% had < 36 ETDRS letters. Polypoidal lesions were present in 69.4% at year 2 versus 29.2% at year 6. Patients received a mean ± SD of 10.2 ± 2.9 anti-vascular endothelial growth factor (anti-VEGF) injections between years 2-6. Outcomes were better in reimbursed versus non-reimbursed regions. Multivariable analysis showed that younger age and better mean BCVA at year 2 predicted more favorable long-term vision. PDT received at any time was not associated with overall mean BCVA at year 6, although it was associated with a lower risk of ≥ 15-letter loss.

conclusionAt 6 years, initial visual gains from aflibercept therapy were not maintained; however, nearly half of the eyes had BCVA ≥ 69 letters, and a large proportion achieved polypoidal lesion regression.

trial registrationClinicalTrials.gov identifier, NCT002120950.

Indexed as

AfliberceptAnti-vascular endothelial growth factor (VEGF) therapiesBest-corrected visual acuity (BCVA)Long-term outcomesPhotodynamic therapy (PDT)Polypoidal choroidal vasculopathy (PCV)

Identifiers

PMID41903075
PMCPMC13250100

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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.