The purpose of this observational study lies in the analysis of a treat-and-extend injection scheme with intravitreal aflibercept (i.e. injection into the eye), as applied in routine practice in previously untreated patients diagnosed with wet age-related macular degeneration.
Data will be collected from the medical files retro- and prospectively. If patients are still under treatment at study initiation and have not yet completed 24 months of treatment with intravitreal aflibercept in a treat-and-extend regimen, data of the remaining observation period will be collected prospectively.
Study Type
OBSERVATIONAL
Enrollment
163
Intravitreal aflibercept injections used in a routine "treat and extend" regimen, under which the intervals between the injections are extended if disease stability is maintained and no signs of worsening disease are observed on the injection day
Many Locations
Multiple Locations, Switzerland
Mean change from baseline in best-corrected visual acuity in Early Treatment Diabetic Retinopathy Study letters (ETDRS letters)
mean change in ETDRS letters
Time frame: Baseline and at 12 months
Mean change from baseline in best-corrected visual acuity (in Early Treatment Diabetic Retinopathy Study (ETDRS) letters)
mean change in ETDRS letters
Time frame: Baseline and at 24 months
Mean change in best-corrected visual acuity in relation to the number of injections administered
Numbers of injections will be predefined as categories and analyzed in relation to the BCVA changes
Time frame: Baseline and at 12 months; Baseline and at 24 months
Mean interval between injections
mean interval displayed in weeks or days
Time frame: At 12 and 24 months
Reasons for the interval length
morphology and / or BCVA /other
Time frame: At 12 and 24 months
Frequency of disease reactivation
Disease activity such as hemorrhage, PED, subretinal fluid, cystoid intraretinal fluid, RPE rip assessed at the investigator's discretion as: none / new or increasing / decreasing / stable
Time frame: Baseline and at 12 months; Baseline and at 24 months
Proportion of eyes gaining or losing ≥ 15 Early Treatment Diabetic Retinopathy Study letters compared to baseline
Proportion evaluated as percentage (%) of eyes
Time frame: Baseline and at 12 months; Baseline and at 24 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Mean changes from baseline in central retinal thickness (CRT)
micro meter (µm)
Time frame: Baseline and at 3 months; Baseline and at 12 months; Baseline and 24 months
Changes from baseline in retinal fluid
intraretinal or subretinal fluid or pigment epithelial detachment (PED)
Time frame: Baseline and at 12 months; Baseline and at 24 months
Reasons for termination of therapy (including subsequent therapy at time of discontinuation)
Categorized into typical reasons for discontinuation such as e.g. death, lost to Follow-up, withdrawal of informed consent, change of treatment regimen, discontinuation of IVT-AFL treatment, interfering surgery or treatment, adverse event, other
Time frame: At 12 and 24 months
Severity of disease reactivation
Severity of disease reactivation assessed at the investigator's discretion as: no new disease activity / mild / severe
Time frame: Baseline and at 12 months; Baseline and at 24 months