How do you decide when to stop anti-vegf injections for patients with exudative AMD?  

There are two general concepts of reasons to stop anti-VEGF injections. One is that the patient stops exuding fluid, which is great! The second is that the vision is so bad that it’s not worth it anymore. Unfortunately, we see patients with both situations making the decision to stop injection...

The ongoing anti-VEGF injections are usually withdrawn when the clinical status of nAMD stabilizes with the absence of clinical activity for an extended period of time or, rarely, when the visual acuity improves to 20/20. I usually use the treat and extend protocol for the treatment of exudative AMD...