Evidence mapPaperPMID 40820321Full record

ArticleKorean journal of ophthalmology : KJO2025

Consensus of Expert Recommendations for the Safe Administration of Brolucizumab in Neovascular Age-related Macular Degeneration.

Jae Ryong Song, Kyu Hyung Park, Se Woong Kang, Hee Seung Chin, Seung Young Yu, Young-Hoon Park, Yu Cheol Kim, Ji Eun Lee, Sun Taek Lim, June-Gone Kim and 5 more

Abstract readConsensus Statement
In one paragraph

Article in Korean journal of ophthalmology : KJO, 2025. 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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0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Jae Ryong SongDepartment of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Kyu Hyung ParkDepartment of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Se Woong KangDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hee Seung ChinInha Vision Science Laboratory, Department of Ophthalmology, Inha University College of Medicine, Incheon, Korea.
Seung Young YuDepartment of Ophthalmology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.
Young-Hoon ParkDepartment of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yu Cheol KimDepartment of Ophthalmology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Ji Eun LeeDepartment of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea.
Sun Taek LimParangsae Eye Hospital, Seoul, Korea.
June-Gone KimDepartment of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Chang Ryong KimParangsae Eye Hospital, Seoul, Korea.
Min SagongDepartment of Ophthalmology, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.
Hyun Sub OhNune Eye Hospital, Seoul, Korea.
Christopher Seungkyu LeeInstitute of Vision Research, Department of Ophthalmology, Severance Eye Hospital, Yonsei University College of Medicine, Seoul, Korea.
Se Joon WooDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Funding

Ministry of Science and ICTNational Research Foundation of Korea RS-2023-00248480
6 · The paper itself

Abstract

Brolucizumab offers improved anatomical outcomes and extended dosing intervals compared to aflibercept, reducing treatment burden. However, postmarketing surveillance and real-world studies have highlighted safety concerns, including intraocular inflammation (IOI), retinal vasculitis, and retinal vascular occlusion, necessitating risk management strategies. To address these concerns, a comprehensive review of clinical trials, real-world data, and safety reports were conducted by an expert panel. This consensus report offers practical, evidence-based recommendations to ensure the safe administration of brolucizumab in patients with neovascular age-related macular degeneration (nAMD). The safety management of brolucizumab in patients with nAMD starts with selecting suitable patient profiles through thorough risk assessments. Educating patients about the risk of inflammation and its symptoms is important, as prompt recognition and early medical attention may help improve outcomes. Close monitoring with frequent follow-ups and the use of widefield fundus imaging or peripheral fundus examination are also necessary for early detection and management of complications. Effective management of IOI includes considering discontinuation of brolucizumab, alternative anti-vascular endothelial growth factor therapies, and corticosteroid treatments based on anatomical location and severity of IOI. Differentiating noninfectious IOI from infectious endophthalmitis is essential to ensure appropriate intervention and safeguard vision. In conclusion, this consensus recommendations emphasized the importance of the evidence-based and patient-centered stepwise approaches that should be considered when prescribing brolucizumab to patients with nAMD. This is not an absolute guideline, and the management should be adapted according to the ophthalmic conditions and the patients' opinions after thorough discussions.

Indexed as

Antibodies, Monoclonal, HumanizedConsensusPractice Guidelines as TopicWet Macular DegenerationAngiogenesis InhibitorsHumansIntravitreal InjectionsAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedbrolucizumabAge-related macular degenerationBrolucizumabIntraocular inflammationRetinal vasculitisUveitis

Identifiers

PMID40820321
PMCPMC12358723

What Socratic holds

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Registered trials

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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 Socratic graph.