Unequal Access to Sight: Disparities in RVO Treatment Revealed in New Study

A recent study published in [Journal Name] reveals concerning disparities in the initiation of anti-vascular endothelial growth factor (anti-VEGF) treatment for retinal vein occlusion (RVO) patients with macular edema. This potentially contributes to unequal access to optimal visual outcomes, raising important questions for ophthalmologists.

The Study:

  • Researchers analyzed data from over 300,000 patients with RVO and macular edema in the American Academy of Ophthalmology IRIS® Registry.
  • They investigated how demographic characteristics and presenting visual acuity influenced the likelihood of receiving anti-VEGF treatment within the first year of diagnosis.

Key Findings:

  • Overall, 37% of patients did not receive any documented anti-VEGF treatment within the first year, suggesting potential undertreatment.
  • Significant disparities were found based on race, ethnicity, sex, and age:
    • Black/African American, Asian, and female patients were less likely to receive treatment.
    • Older patients (over 51 years old) were more likely to receive treatment.
  • Visual acuity also played a role: Patients with worse vision at presentation were more likely to be treated compared to those with better vision or light perception/no light perception.

The Impact:

  • These disparities can lead to unequal access to potentially vision-saving treatment, impacting long-term outcomes for certain patient groups.
  • Raising awareness of these undertreatment trends is crucial to ensure equitable access to appropriate care for all RVO patients.

What We Can Do:

  • Increase awareness: By highlighting these disparities, ophthalmologists can advocate for improved access to anti-VEGF treatment for all patients, regardless of their demographics or initial visual acuity.
  • Address potential barriers: Further research is needed to identify and address specific barriers preventing certain groups from receiving timely treatment.
  • Personalized care: While acknowledging treatment guidelines, consider individual patient factors and potential underlying reasons for potential undertreatment when making treatment decisions.


This study highlights the worrying presence of disparities in RVO treatment, potentially compromising visual outcomes for certain patient groups. By working towards equitable access to this potentially vision-saving therapy, we can improve the overall quality of care for all RVO patients. Remember, this is just the beginning of the conversation. Continued efforts are needed to address these disparities and ensure optimal visual outcomes for all.


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