Real-World Evidence Guides Extended Dosing Strategies for Next-Generation Anti-VEGF Therapies in Retinal Disease
- Retinal specialists are successfully extending treatment intervals beyond traditional 12-week limits with newer anti-VEGF agents like faricimab and aflibercept 8 mg, with some physicians comfortable reaching 16-20 weeks in appropriate patients.
- Real-world data reveals that switching from aflibercept 2 mg to 8 mg typically allows 2-4 week extensions in treatment intervals, with benefits improving over time rather than immediately after switching.
- Patient compliance drops significantly beyond 4-month intervals, leading physicians to identify a "sweet spot" of 3-4 month treatment cycles that balance disease control with patient convenience.
- Loading dose strategies differ between treatment-naive and previously treated patients, with complete reloading often unnecessary when switching to newer agents in experienced patients.