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. 2016 Aug 18;9(8):1156–1162. doi: 10.18240/ijo.2016.08.12

Table 4. Summary of published studies on 6-12mo visual outcomes in poorly responsive neovascular age-related macular degeneration patients switched to aflibercept (last screened by PubMed on 11th September 2015).

Study (n, eyes) Aflibercept dosing regimen Study design Mean follow-up (mo) Average age (a) Male (%) Mean baseline BCVA (ETDRS letters)1
Study switched group,107 Fixed dosing-3 monthly then bimonthly Retrospective 12 81.6 (range 60-96) 44 56.3 (20/75)
Messenger et al[15],109 Clinician discretion Retrospective 12 80.3 (range 59-96) 44 59.7 (20/64)
Grewal et al[14],21 3 loading doses, monthly or bimonthly thereafter Prospective 12 80.7 (±4.5 SD) 43 64 (20/53)
Arcinue et al[16],63 Bimonthly (no monthly loading). Switched to monthly if persistent fluid Retrospective 12 81 (IQR 76-87) 41 65 (20/50)
Singh et al[17],26 Fixed dosing-3 monthly, then bimonthly Prospective 6 78 (range 69-90) - 56.4 (20/75)
Wykoff et al[12],46 3 loading, one at month 5. IPRN at months 4 and 6 Prospective 6 77.8 (range 55-95) 48 74.2 (20/33)
Kumar et al[11],34 3 monthly, follow-up at 6 months Retrospective 6 79 (IQR 72-84) 29 56.5 (20/74)
Gharbiya et al[10],31 3 monthly, then PRN dosing Retrospective 6 70.1 (range 60-86) 30 42.5 (20/142)
Ferrone et al[9],221 Clinician discretion (3 injections 4-9wk apart). Retrospective 6 83 33 66 (20/48)
Cho et al[8],28 Treat and extend Retrospective 6 80.68 (range 62-95) 50 59 (20/66)
Chang et al[7],49 Fixed dosing-3 monthly, then bimonthly Retrospective 6 77.8 (±7.5 SD) 43 60.5 (20/62)
Bakall et al[6],36 Treat and extend after 3 loading doses Retrospective 6 79 (range 60-88) 42 62.5 (20/56)

1Where previous studies have reported BCVA in logMAR, this was converted to ETDRS letter equivalents using a published method[24]. BCVA: Best-corrected visual acuity; CRT: Central retinal thickness; ETDRS: Early Treatment Diabetic Retinopathy Study; IQR: Interquartile range; SD: Standard deviation.