Evidence map›Paper›PMID 41965628›Full record

ArticleBMC ophthalmology2026

Long-term disease control with anti-VEGF treat-and-extend treatment in macular edema due to retinal vein occlusion.

Sarah Fischer, Laura Hoffmann, Katja Hatz

Abstract read
In one paragraph

Article in BMC ophthalmology, 2026. 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. Article
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

3 authors.

Sarah FischerDepartment of Ophthalmology, Vista Augenklinik Binningen, Hauptstrasse 55, Binningen, 4102, Switzerland.
Laura HoffmannDepartment of Ophthalmology, Vista Augenklinik Binningen, Hauptstrasse 55, Binningen, 4102, Switzerland.
Katja HatzDepartment of Ophthalmology, Vista Augenklinik Binningen, Hauptstrasse 55, Binningen, 4102, Switzerland. katja.hatz@vista.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to evaluate the long-term outcome of a treat-and-extend regimen (TER) in treatment-naïve patients with macular edema (ME) secondary to branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO).

methodsA retrospective analysis was conducted on a consecutive series of patients treated with either ranibizumab 0.5 mg or aflibercept 2 mg in a treat-and-extend regimen without a loading dose with follow-up of at least 12 months. The evaluation included best-corrected visual acuity (BCVA), central retinal thickness (CRT), other morphological parameters assessed by spectral-domain optical coherence tomography (SD-OCT) and fluorescein angiography (FA) as well as treatment frequency.

resultsn = 106 (mean age 72.2 ± 11.2 years) were included, 55 BRVO and 51 CRVO/Hemi-CRVO. Mean follow-up period 54.1 ± 30.7 months (range 12–142). 36 eyes discontinued treatment: 9 eyes due to success and 27 lost to follow-up/death and 2 switched to Faricimab. BCVA significantly increased from 57.4 ± 23.9 letters at baseline to 72.6 ± 13.8 (p < 0.001), 72.3 ± 15.2 (p < 0.001), 72.4 ± 15.6 (p < 0.001), and 73.3 ± 13.5 letters (p < 0.001) after 1, 2, 3 and 4 years respectively. CRT significantly decreased from 506 ± 195 μm at baseline to 281 ± 72 μm (p < 0.001), 282 ± 64 μm (p < 0.001), 279 ± 72 μm (p < 0.001), and 283 ± 89 μm (p < 0.001), after 1, 2, 3 and 4 years, respectively. At year 1, 46.2% of eyes showed a dry retina (no intra- or subretinal fluid); at year 2, 48.0%; at year 3, 54.4%; and at year 4, 44.0%. Mean number of injections was 9.8 ± 2.2, 8.2 ± 2.5, 7.5 ± 3.1, and 7.3 ± 2.2 at years 1, 2, 3, and 4, respectively. The mean maximal recurrence-free treatment interval was 6.4 ± 2.1, 8.1 ± 2.7, 8.7 ± 2.8, and 8.5 ± 2.6 weeks within years 1, 2, 3, and 4, respectively.

conclusionLong-term treat-and-extend regimen treatment using ranibizumab or aflibercept in treatment-naïve patients with CME due to BRVO or CRVO led to statistically significant and sustained functional and morphological improvements.

Indexed as

Angiogenesis InhibitorsMacular EdemaRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetinal Vein OcclusionAgedAged, 80 and overFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMaleMiddle AgedRetrospective StudiesafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AAfliberceptBranch retinal vein occlusionCentral retinal vein occlusionIntravitreal anti-VEGF therapyMacular edemaRanibizumabRetinal vein occlusionTreat-and-extend regimen

Identifiers

PMID41965628
PMCPMC13185163

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.