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Aims To report the mean change in Early Treatment Diabetic Retinopathy Study (ETDRS) best-corrected visual acuity (BCVA) and reading performance (reading acuity and maximum reading speed (MRS) using the MNREAD test) between baseline and 24 months in treatment-naïve patients with neovascular age-related macular degeneration (nAMD) treated with intravitreal aflibercept injections. Methods A prospective, open-label, interventional non-randomised case series with 24 months’ duration. Patients were recruited to the study from medical retina clinics at Moorfields Eye Hospital. Intravitreal injections of 2.0 mg aflibercept in the study eye were administered using a fixed dosing regimen during the first year and a treat-and-extend treatment regimen during the second year of treatment. Results Fifty patients were enrolled with a mean age (SD) of 78.7 (7.6) years; a mean BCVA of 62.8 ETDRS letters; mean reading acuity of 0.52 logMAR; mean maximum reading speed (MRS) of 141.3 words per minute and a central macular thickness of 322.6 µm at baseline. The mean improvement in BCVA was 6.4 letters for the 44 patients (88%) for whom data was available at 2 years. The mean improvement in reading acuity was 0.13 logMAR with an improvement in MRS of 2.9 words per minute. The mean reduction in CRT from baseline was 104.8 µm. Conclusions Aflibercept treatment of nAMD using fixed dosing in year 1 and treat and extend in year 2 leads to improvements in reading ability, visual acuity and retinal morphology which were maintained to 2 years of treatment. Trial Registration ClinicalTrials.gov Identifier NCT02441816, the VITAL study. Electronic supplementary material The online version of this article (10.1007/s40123-020-00267-5) contains supplementary material, which is available to authorized users.

Determining appropriate spatial scales for managing fisheries is a key element of sustainable management. For inland fisheries, management or harvest regulations are often implemented as general regional guidelines or on a lake-by-lake basis. Wild lacustrine brook trout Salvelinus fontinalis from four waterbodies in the Galipo River watershed of Algonquin Provincial Park, Ontario, were used as a model system to determine the extent of population structure among lakes and to identify appropriate scale(s) for managing inland brook trout fisheries. Individual multilocus genotypes were measured using 10 microsatellite loci and were used to characterize movement and gene flow among lakes. Both population- and individual-based analyses showed very little genetic structure among all pairs of waterbodies, suggesting high levels of movement and gene flow between all pairs of lakes. Varying levels of limited genetic structure between pairs of lakes indicate that gene flow may not be uniform within the stud...