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. 2021 Aug 12;42(4):589–606. doi: 10.1097/IAE.0000000000003283

Table 3.

Association Between Fluid and Number of Injections

Ref Study Design Risk of Bias Treatment Protocol Previous Treatments Treatment Arm N No. of Injections Time Point
Curry et al 201742 Open-label Mod AFL PRN RAN Eyes with IRF

Eyes with SRF
9

11
Injection frequency 46 days (P = 0.02)
Injection frequency 41 days (P = 0.10)
12 months
Dervenis et al 201624 Observational Low RAN PRN Treatment-naive SRF
No SRF
IRF
No IRF
42
20
32
30
3.9
3.3
3.7
3.9
12 months
Ersoy et al 201432 Observational Low RAN or BEV PRN Mixed Persistent SRF
No persistent SRF
14
16
7.1 (2.6)
5.4 (1.8)
12 months
Guymer et al 201911 RCT Low RAN T&E Treatment-naive “Intensive” not tolerating SRF or IRF
“Relaxed” tolerating SRF ≤200 µm
“Intensive” not tolerating SRF or IRF
“Relaxed” tolerating SRF ≤200 µm
BL: 349 9.5 (2.6)

8.9 (2.3)*

17 (6.5)

15.8 (5.9)*

*P = 0.001 relaxed vs. intensive arm
12 months



24 months
Regillo et al 201517 RCT post hoc Low RAN PRN Treatment-naive SRF thickness >118.25 µm
SRF thickness ≤118.25 µm
117

134
8.9

7.3
12 months
Ritter et al 201418 RCT Low RAN or RAN + PDT PRN Treatment-naive With SRF

Without SRF

With IRF

Without IRF
82
75
40
55
60
69
62
61
RAN+PDT: 5.3 (2.2)
RAN: 5.6 (2.4)
RAN+PDT: 4.4 (2.3)*
RAN: 4.8 (1.8)
*P < 0.01 vs. with SRF
RAN + PDT: 5.0 (2.3)
RAN: 5.2 (2.0)
RAN + PDT: 4.9 (2.2)
RAN: 5.3 (2.4)
12 months

AFL, aflibercept; BEV, bevacizumab; BL, baseline; IRF, intraretinal fluid; Mod, moderate; PDT, photodynamic therapy; PRN, pro re nata; RAN, ranibizumab; RCT, randomized controlled trial; T&E, treat-and-extend.