Caution Against Overinterpretation of Results in the FENETRE Trial - Takeaways - MDSpire

Caution Against Overinterpretation of Results in the FENETRE Trial

  • By

  • Isaiah J. Miller

  • Sally S. Ong

  • June 15, 2026

  • 0 min

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  • 1

    Age-related macular degeneration (AMD) is a leading cause of irreversible vision loss, affecting over 8 million people globally in 2021.

  • 2

    The FENETRE trial examined community optometrist-led monitoring of quiescent neovascular AMD, enrolling 704 adults across 17 NHS hospitals and 60 community practices.

  • 3

    Community optometrists had a false-negative rate of 3.8%, while hospital monitoring had a rate of 7.8%, meeting the noninferiority margin.

  • 4

    Optometrists in the FENETRE trial underwent a dedicated training program, emphasizing the need for specialized training for safe monitoring of AMD.

  • 5

    The study's results should not be generalized to other health systems due to differences in optometrist credentialing and training pathways.

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