06/12/2025
In one of the sessions today at Organized by Sophie Bakri, experts shared their insights on wet AMD management. What are the key take aways?
Elodie Bousquet opened the session, highlighting the need for precise early management in neovascular AMD: confirm true neovascular fluid, rule out PCV, choose an appropriate anti‑VEGF, and use a treat‑and‑extend regimen with OCT‑A and, when needed, photodynamic therapy.
Usha Chakravarthy follwed by showing how machine‑learning analysis of SD‑OCT can quantify retinal fluid compartments and highlighted that persistent or fluctuating fluid volumes, especially large PED changes, are key biomarkers linked to worse long‑term visual outcomes.
Mark Breazzano, MD, FACS discussed how treat‑and‑extend regimens are effective in real‑world nAMD care, and may be superior to PRN or fixed‑dose strategies when adherence and loss to follow‑up are considered, however vision loss still occurs and high‑risk type 3 MNV requires close monitoring.
Following this, Sophie Bakri , delivered an insightful talk titled “Beyond VEGF: What’s Here and What’s Coming,” offering a forward-looking perspective on the next chapter of retinal disease management.
Finally, closing this session, Daniela Bacherini showed that in complex eyes with wet AMD, not all fluid reflects neovascular activity, anatomical factors can distort OCT and treatment response, and comorbid ocular diseases often drive prognosis and follow‑up more than the macular neovascularization itself.