ArticleBMC ophthalmology2026
Outcome and factors affecting prognosis in treat and extend treatment for neovascular age-related macular degeneration-a real world study.
Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo evaluate the outcome of treat and extend (T&E) for neovascular age related macular degeneration (nAMD) at 12, 18 and 24 months and the impact of clinical characteristics on treatment success defined as extension of treatment interval to ≥12 weeks and functional improvement or stability.
methodsVisual and anatomical outcomes evaluated by optical coherence tomography (OCT) and extension of treatment interval to ≥12 weeks were analyzed retrospectively. Clinical factors effective on extension of the treatment interval and visual outcome were evaluated.
resultsThere were 138 eyes with at least 18 months of follow-up. Patients exhibited a significant improvement in visual acuity and reduction in central subfield thickness (CST), subretinal fluid (SRF), intraretinal fluid (IRF) and pigment epithelial detachment (PED) at both the 12
conclusionPresence of IRF and a visual acuity of ≤20/100 at baseline were found to be negative predictors for visual prognosis, while large PED was a negative predictive factor for less frequent treatment, but it did not affect visual outcome. Treatment interval should be extended cautiously in patients with baseline intraretinal fluid and visual acuity of ≤20/100 in order to balance decreasing the burden of treatment by longer treatment intervals with improvement of visual gain.
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