Evidence map›Paper›PMID 41741701›Full record

ArticleEye (London, England)2026

AI-assisted analysis of early fluid dynamics following aflibercept 8 mg in treatment-naïve neovascular AMD.

Daniele Veritti, Valentina Sarao, Asia Amelia Martin, Francesco Bonini, Paolo Lanzetta

Abstract read
In one paragraph

Article in Eye (London, England), 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Daniele VerittiDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0003-0148-5348
Valentina SaraoDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0003-0041-5073
Asia Amelia MartinDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy.
Francesco BoniniDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy.
Paolo LanzettaDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy. paolo.lanzetta@uniud.it.ORCID http://orcid.org/0000-0003-3746-141X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate early morphological changes following intravitreal aflibercept 8 mg in treatment-naïve neovascular age-related macular degeneration (nAMD) using artificial intelligence (AI)-assisted optical coherence tomography (OCT) segmentation.

methodsThirty eyes with treatment-naïve subfoveal nAMD received three monthly aflibercept 8 mg injections. OCT scans were obtained at baseline and days 1, 7, 14, 30, 60, and 90. AI-based segmentation software (Fluid Monitor, RetInSight GmbH) quantified intraretinal fluid (IRF), subretinal fluid (SRF), and pigment epithelial detachment (PED) volumes in the central 6-mm area. Morphologic changes were correlated with best-corrected visual acuity (BCVA).

resultsIRF, SRF, and PED showed distinct reduction patterns. In eyes with IRF (n = 22), mean volume decreased by 65% at day 1, 94% at day 14, and 96% at day 90 (p < 0.05). Among eyes with SRF (n = 28), SRF volume decreased by 18%, 84%, and 99% at days 1, 14, and 90, respectively (p ≤ 0.002). PED volume declined more gradually among affected eyes (n = 23), with mean reductions of 7% at day 1, 34% by day 14, and 53% by day 90 (p ≤ 0.023). BCVA improved from 51.8 ± 14.4 to 62.6 ± 14.4 ETDRS letters by day 90 (mean gain + 10.8; p < 0.001). Multivariate regression identified a significant association between IRF reduction at day 14 and BCVA gain at day 90 (β = -0.018, p = 0.036).

conclusionsAflibercept 8 mg induced rapid, compartment-specific morphologic responses in treatment-naïve nAMD, with early IRF resolution and significant BCVA improvement. AI-assisted analysis provided detailed pharmacodynamic insights and may support individualised treatment strategies during the loading phase.

Indexed as

Angiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsSubretinal FluidWet Macular DegenerationAgedAged, 80 and overFemaleHumansIntelligent SystemsIntravitreal InjectionsMaleProspective StudiesTomography, Optical CoherenceVascular Endothelial Growth Factor AVisual AcuityafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor A

Identifiers

PMID41741701
PMCPMC13161317

What Socratic holds

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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.