June 22, 2026 · American journal of ophthalmology · DOI: 10.1016/j.ajo.2026.06.035

Therapeutic response to anti-VEGF retreatment among eyes with stabilized vision after being lost to follow-up in diabetic macular edema: A nationwide, registry-based cohort study

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The authors aimed to investigate the visual and anatomical outcomes of restarting anti-VEGF therapy in patients with diabetic macular edema (DME) who returned with stabilized vision after being lost to follow-up. They found that while a significant proportion of patients with vision decline showed improvement, those with stabilized vision had suboptimal responses, with many not gaining visual acuity despite anatomical improvements. The study suggests that the decision to retreat these patients should be made cautiously, considering the potential need for alternative therapies.

Chuandi Zhou, Yinchen Shen, Shu Li, Yong Li, Xiaorong Li, Xiaolu Yang, Yupeng Xu, Xian Wang, Qing Yang, Dawei Sun, Wenfang Zhang, Suyan Li, Han Zhang, Hongbin Lv, Xiang Ma, Honghua Yu, Zongming Song, Tianzi Zhang, Xuhui Yu, Yong Liu, Tongtong Niu, Rongdi Yuan, Zhipeng You, Qing Liu, Yanping Song, Ningyao Cao, Dongqing Zhu, Xiaodong Sun, Zhi Zheng, Kun Liu, Xun Xu

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