Evidence map›Paper›PMID 42026508›Full record

ArticleBMC ophthalmology2026

Short-term efficacy of aflibercept 8 mg in refractory neovascular age-related macular degeneration: a retrospective case series from Taiwan.

Sheng-Chu Chi, De-Kuang Hwang, Shih-Jen Chen, Chang-Chi Weng, Yi Ming Huang, Yu-Bai Chou, Tai-Chi Lin

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. 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.

Sheng-Chu ChiDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
De-Kuang HwangDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
Shih-Jen ChenDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
Chang-Chi WengDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
Yi Ming HuangDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
Yu-Bai ChouDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.
Tai-Chi LinDepartment of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC. taichilin0331@gmail.com.

Funding

Taipei Veterans General Hospital V114C-191Yen Tjing Ling Medical Foundation (CI-113-26)
6 · The paper itself

Abstract

purposeAflibercept 8 mg is a newly developed option for neovascular age-related macular degeneration (nAMD) class. This study explores the short-term effectiveness of aflibercept 8 mg in patients with refractory nAMD.

methodThis retrospective case series analyzed patients with refractory nAMD who received aflibercept 8 mg at Taipei Veterans General Hospital between October 2024 and April 2025. The main outcomes assessed were changes in best-corrected visual acuity (BCVA) and central macular thickness (CMT) during the initial treatment period. Secondary outcomes included evaluation of subretinal fluid (SRF), intraretinal fluid (IRF), and alterations in pigment epithelial detachment (PED) height. Data were analyzed using nonparametric statistical methods.

resultThis study included 12 eyes with refractory nAMD, 5 with refractory polypoidal choroidal vasculopathy (PCV), and 3 with refractory pachychoroid neovasculopathy (PNV), all treated with aflibercept 8 mg. Over a 3-month follow-up, no significant improvement in BCVA was observed, while CMT showed significant reductions at all time points. PED height also significantly decreased at the 1- and 3-month visits per Wilcoxon signed-rank test. Although SRF prevalence declined, the change was not statistically significant. A dry macula was achieved in 45% of eyes. Around half or more of the eyes showed a CMT reduction > 50 μm, with proportions of 50.0%, 54.5%, and 57.1% at months 1, 2, and 3, respectively.

conclusionAflibercept 8 mg demonstrated favorable anatomical outcomes in patients with neovascular macular diseases, including nAMD, PCV, and PNV. Further studies are warranted to identify factors associated with treatment response and optimize patient selection.

trial registrationNot applicable. This study is a retrospective case series and does not report a prospective health care intervention requiring trial registration.

Indexed as

Angiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsWet Macular DegenerationAgedAged, 80 and overFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMaleMiddle AgedPolypoidal Choroidal VasculopathyRetrospective StudiesTaiwanafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAflibercept 8 mgAnti-VEGFnAMD

Identifiers

PMID42026508
PMCPMC13237953

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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.