Evidence map›Paper›PMID 41238745›Full record

Observational studyEye (London, England)2026

Treatment patterns and long-term outcomes in anti-VEGF-treated macular oedema secondary to retinal vein occlusion: a retrospective observational study.

Christiana Dinah, Melanie Dodds, Andrew Lotery, Serena Salvatore, Emily Fletcher, Alice V R Lake, Antony Parker, Liliana Paris Pereira, Anne-Cecile Retiere, Insaf Saffar and 3 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. 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

13 authors.

Christiana DinahLondon North West University Healthcare NHS Trust, London, UK. christiana.dinah@nhs.net.ORCID 0000-0002-0815-4771
Melanie DoddsMedisoft, Leeds, UK.ORCID 0009-0007-8748-5299
Andrew LoteryUniversity of Southampton, Faculty of Medicine, Southampton, UK.ORCID 0000-0001-5541-4305
Serena SalvatoreGloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Emily FletcherUniversity Hospitals of Bristol and Weston, Bristol, UK.
Alice V R LakeMedisoft, Leeds, UK.ORCID 0000-0002-6341-8661
Antony ParkerRoche Products Ltd, Welwyn Garden City, UK.
Liliana Paris PereiraGenentech, Inc., San Francisco, CA, USA.
Anne-Cecile RetiereRoche Products Ltd, Welwyn Garden City, UK.
Insaf SaffarRoche Products Ltd, Welwyn Garden City, UK.
Pablo ArrisiRoche Products Ltd, Welwyn Garden City, UK.
United Kingdom Retinal Vein Occlusion Electronic Medical Records Users Group (UK RVO EMR Users Group)
Gloria C ChiGenentech, Inc., San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThis study reported real-world visual acuity (VA), treatment patterns, and ocular safety outcomes from patients with macular oedema secondary to branch, central, or hemi-retinal vein occlusion (BRVO, CRVO, HRVO) treated with anti-vascular endothelial growth factor (VEGF).

methodsData were collected from Medisoft electronic medical records across 16 NHS ophthalmology sites in England over 60 months.

results3511/3465 eyes/patients with BRVO and 3568/3514 eyes/patients with CRVO or HRVO were included; <2% of patients had bilateral RVO and had both eyes included. VA change from index anti-VEGF treatment was lower with longer follow-up. In BRVO eyes, mean (95% CI) change in VA from index was +11.2 (10.6, 11.7) approximate Early Treatment Diabetic Retinopathy Study (ETDRS) letters at Month (M)6 and +8.3 (6.7, 10.0) at M60. Mean (95% CI) change in VA for CRVO/HRVO eyes was +11.5 (10.7, 12.3) approximate ETDRS letters at M6 and +7.0 (4.8, 9.2) at M60. Eyes receiving more injections displayed greater average VA gains. Median (Q1-Q3) annual number of anti-VEGF injections was lower in BRVO and CRVO/HRVO eyes with longer follow-up: M12, 7.0 (5.0-8.0) and 6.0 (4.0-8.0); M60, 2.0 (0.0-5.0) and 1.0 (0.0-5.0). Ocular safety outcome incidence through 60 months was low (endophthalmitis, retinal tears, and retinal detachment <1%).

conclusionsVA improvements were observed soon after anti-VEGF treatment, but were lower with longer follow-up through 60 months, alongside lower annual injection numbers, suggesting that current single-target intravitreal anti-VEGFs may not be sufficiently durable for long-term RVO management in routine practice.

Indexed as

Angiogenesis InhibitorsBevacizumabMacular EdemaRanibizumabRetinal Vein OcclusionVascular Endothelial Growth Factor AAgedAged, 80 and overFemaleFollow-Up StudiesHumansIntravitreal InjectionsMaleMiddle AgedReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsafliberceptAngiogenesis InhibitorsBevacizumabRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID41238745
PMCPMC12764885

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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.