Evidence map›Paper›PMID 42222587›Full record

ArticleOphthalmology science2026

Fluid Volumes Longitudinal Modeling to Predict Atrophy and Fibrosis in Neovascular Age-Related Macular Degeneration.

Stefano Mercuri, Stefan Sacu, Sophie Frank-Publig, Johannes Schrittwieser, Markus Gumpinger, Oliver Leingang, Ursula Schmidt-Erfurth, Usha Chakravarthy, Hrvoje Bogunovic, Gianni Virgili and 1 more

Abstract read
In one paragraph

Article in Ophthalmology science, 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

11 authors.

Stefano MercuriDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Stefan SacuDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Sophie Frank-PubligDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Johannes SchrittwieserDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Markus GumpingerDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Oliver LeingangRetInSight GmbH, Vienna, Austria.
Ursula Schmidt-ErfurthDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Usha ChakravarthyCenter for Experimental Medicine, Institute of Clinical Science, Queen's University Belfast, Belfast, UK.
Hrvoje BogunovicCenter for Medical Data Science (Institute of Artificial Intelligence), Medical University of Vienna, Vienna, Austria.
Gianni VirgiliDepartment of Neurosciences, Psychology, Drug Research, and Child Health, Eye Clinic, University of Florence, AOU Careggi, Florence, Italy.
Gregor S ReiterDepartment of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the impact of retinal fluid volumes on the development of atrophy and fibrosis in neovascular age-related macular degeneration (nAMD) during routine care. Design: Retrospective longitudinal study. Participants: Treatment-naïve eyes with nAMD from the Vienna Imaging Biomarker Eye Study (2007-2018), initiating anti-VEGF therapy. Methods: Volumes of intraretinal fluid (IRF), subretinal fluid (SRF), and pigment epithelial detachment (PED) were automatically quantified on OCT using an approved artificial intelligence algorithm within the 1-, 3-, and 6-mm ETDRS regions. Macular neovascularization (MNV) type and baseline presence of subretinal hyperreflective material (SHRM) were assessed. Fluid volumes were modeled as time-dependent biomarkers using repeated-measure Cox models to evaluate cumulative effects over time on the development of atrophy and fibrosis, with hazard ratios calculated for quartiles (Qs) at each visit. Associations with change in visual acuity (VA) were performed in a subset of eyes with ≥12 months of follow-up. Main Outcome Measures: Retinal fluid volumes, development of atrophy and fibrosis, and change in VA. Results: A total of 1060 eyes of 998 patients were included. Higher IRF volumes increased the risk of both atrophy and fibrosis (all Conclusions: Assessment of the cumulative effects of retinal fluid volumes during anti-VEGF therapy using time-dependent biomarker modeling revealed notable associations with risk of atrophy, fibrosis, and VA decline. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

AtrophyFibrosisFluid volumesMacular neovascularizationSubretinal hyperreflective material

Identifiers

PMID42222587
PMCPMC13218248

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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.