Evidence map›Paper›PMID 41973161›Full record

ReviewInternational ophthalmology2026

Anatomic and functional outcomes of intravitreal faricimab for polypoidal choroidal vasculopathy: a review.

Chia-Wei Chang, Pei-Kang Liu, Kai-Chun Cheng, Hung-Chi Lai, Horng-Jiun Wu, Daniel Yu Lee, Meng-Wei Lo, Kuo-Jen Chen, Hsien-Chung Lin, Yo-Chen Chang

Abstract readReview
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In one paragraph

Review in International 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. Pachychoroid diseases of the macula: an update.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

10 authors.

Chia-Wei ChangDepartment of Medical Education, Kaohsiung Chang Gung Memoria Hospital, Kaohsiung, 833, Taiwan.
Pei-Kang LiuDepartment of Ophthalmology, School of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Kai-Chun ChengDepartment of Ophthalmology, School of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Hung-Chi LaiDepartment of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Horng-Jiun WuDepartment of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Daniel Yu LeeDepartment of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Meng-Wei LoDepartment of Ophthalmology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, 812, Taiwan.
Kuo-Jen ChenDepartment of Ophthalmology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, 812, Taiwan.
Hsien-Chung LinDepartment of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Yo-Chen ChangDepartment of Ophthalmology, School of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan. ycchang@kmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis review examines anatomic and functional outcomes of intravitreal faricimab for treating polypoidal choroidal vasculopathy (PCV), a neovascular age-related macular degeneration subtype common in Asian populations. Faricimab is a bispecific antibody targeting both VEGF-A and Ang-2, potentially offering more durable effects than standard anti-VEGF monotherapy.

methodsA narrative review was conducted by searching PubMed, Embase, and Web of Science through July 2024. Keywords included faricimab, polypoidal choroidal vasculopathy, and anti-VEGF. Eligible studies comprised English-language, peer-reviewed human trials (prospective, retrospective, case series, and reports). Conference abstracts and non-peer-reviewed sources were excluded.

resultsIn treatment-naïve patients, preliminary data suggest that faricimab may yield favorable results, though findings are largely derived from small retrospective studies. Functionally, a one-year study reported significant improvement in mean best-corrected visual acuity (BCVA), from 0.30±0.33 logMAR at baseline to 0.16±0.26 logMAR at final visit. However, some studies note visual gains may not be statistically significant during initial loading phase. Anatomically, high polyp regression rates are key findings, with one study reporting 61.1% rate after three monthly injections. High rates of dry macula (60-80%) and significant reductions in central foveal thickness (CFT) and central choroidal thickness (CCT) are consistently observed. For patients with suboptimal response to prior anti-VEGF therapies, switching to faricimab presents mixed picture. While a prospective cohort study found no significant average improvement in visual acuity for switched PCV eyes, a case report showed dramatic improvement from 20/100 to 20/60 after two injections in a ranibizumab-refractory case. Anatomically, switched patients show significant reduction in choroidal thickness and serous pigment epithelial detachments (PEDs). However, the presence of polypoidal lesions was identified as a negative predictive factor for successfully extending the treatment interval.

conclusionsBased on limited retrospective evidence, faricimab may represent a promising therapeutic candidate for PCV, with several studies reporting anatomical improvements. The dual mechanism of action targeting both VEGF-A and Ang-2 may help address certain pathological features of the disease; however, confirmation from larger prospective studies is needed.

Indexed as

Angiogenesis InhibitorsChoroidPolypoidal Choroidal VasculopathyVisual AcuityAntibodies, BispecificHumansIntravitreal InjectionsTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AAngiogenesis InhibitorsAntibodies, BispecificfaricimabVascular Endothelial Growth Factor AAnatomic outcomeAnti-VEGFFaricimabFunctional outcomePolypoidal choroidal vasculopathyReview

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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.