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June 4, 2026Ophthalmology ScienceOpen Access

Baseline OCT Biomarkers Associated with the 2-year Development of Macular Atrophy or Fibrosis in Neovascular AMD

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Authors

COChiara OlivieriCTO HospitalGPGiacomo PerinCTO HospitalXZXuenan ZhuangSun Yat-sen University

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Implication

Retrospective cohort study evaluates baseline structural OCT biomarkers predicting macular complications in eyes with neovascular AMD, indicating critical assessment for outcomes.

Key Points

  • This study aims to identify baseline OCT biomarkers that can predict the development of macular atrophy and fibrosis in eyes with neovascular AMD.
  • Retrospective cohort study involving 89 treatment-naïve eyes with exudative neovascular AMD.
  • Baseline structural OCT scans evaluated for morphological features by two masked graders.
  • Cox regression models analyzed to determine predictors of macular atrophy and fibrosis over 24 months.
  • 31.5% of eyes developed macular atrophy (HR 6.07; 95% CI 2.23-16.48) associated with baseline IRF.
  • Type 3 MNV was linked to macular atrophy with HR 4.38 (95% CI 1.63-11.73), while type 1 MNV was protective (HR 0.23; 95% CI 0.09-0.61).
  • Type 2 MNV emerged as a strong predictor for macular fibrosis (HR 7.28; 95% CI 1.51-35.10).

Cite This Study

Olivieri et al. (2026) studied this question.

synapsesocial.com/papers/6a211591d499ed480b16eacdhttps://doi.org/10.1016/j.xops.2026.101268
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Also Consider

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  1. 1Distinct Pathways of Macular Atrophy in Type 3 Macular Neovascularization Associated With AMD2024 · 17 citations
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  5. 5Fibrosis in neovascular age-related macular degeneration: A review of definitions based on clinical imaging2023 · 41 citations