Evidence map›Paper›PMID 41743586›Full record

ArticleJournal of ophthalmology2026

Reducing the Carbon Footprint of Neovascular Age-Related Macular Degeneration Therapy: Environmental Impact of Transitioning to Aflibercept 8 mg.

Daniele Veritti, Micaela Misciagna, Cristian Teatino, Chiara Pontoni, Marianna Blasutig, Mattea Kuftic, Sofia Pece, Andrea Morsanutto, Alfredo Pece, Paolo Lanzetta

Abstract read
In one paragraph

Article in Journal of ophthalmology, 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

10 authors.

Daniele VerittiDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy, uniud.it.ORCID https://orcid.org/0000-0003-0148-5348
Micaela MisciagnaDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy, uniud.it.ORCID https://orcid.org/0009-0009-9665-1900
Cristian TeatinoDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy, uniud.it.
Chiara PontoniGesteco Spa, Povoletto, Udine, Italy.
Marianna BlasutigGesteco Spa, Povoletto, Udine, Italy.
Mattea KufticGesteco Spa, Povoletto, Udine, Italy.
Sofia PeceInnovation and Change, Milan, Italy.
Andrea MorsanuttoSOC Politiche del Farmaco e Governo dei Percorsi di Appropriatezza, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Alfredo PeceFondazione Retina 3000, Milan, Italy.
Paolo LanzettaDepartment of Medicine-Ophthalmology, University of Udine, Udine, Italy, uniud.it.ORCID https://orcid.org/0000-0003-3746-141X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To quantify and compare the carbon footprint associated with neovascular age-related macular degeneration (nAMD) treatment using real-world intravitreal aflibercept 2-mg injections versus a simulated aflibercept 8-mg regimen with extended dosing intervals. Methods: A life cycle assessment (LCA) combining process-based and input-output methodologies was conducted using real patient data from a tertiary ophthalmic center. The analysis included 101 patients treated with aflibercept 2 mg and modeled the environmental impact of transitioning to aflibercept 8 mg. The simulated aflibercept 8-mg cohort was generated by replicating the demographic and logistical characteristics of the real-world aflibercept 2-mg population while applying extended dosing intervals. Emissions were estimated in CO Results: Patients treated with aflibercept 2 mg generated an average carbon footprint of 1150 kg CO Conclusions: A transition from conventional aflibercept 2-mg therapy to an aflibercept 8-mg regimen with extended dosing intervals reduces the treatment's carbon footprint by over one-third. These findings support the integration of environmental considerations into therapeutic decisions in ophthalmology, particularly for high-frequency procedures, such as intravitreal injections.

Indexed as

aflibercept 8 mganti-VEGF therapycarbon footprintenvironmental sustainabilityintravitreal injectionsneovascular age–related macular degeneration

Identifiers

PMID41743586
PMCPMC12929641

What Socratic holds

Textmetadata
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.