Epiretinal membrane-induced intraretinal neovascularization

To report a 71-year-old male patient diagnosed with epiretinal membrane-induced intraretinal neovascularization. The presence of an epiretinal membrane (ERM) was confirmed by Optical Coherence Tomography (OCT), fluorescein and indocyanine angiography. Optical coherence tomography angiography (OCT-A) revealed a neovascular membrane within the ERM. Intravitreal ranibizumab injections were administered three times at four-week intervals. Imaging revealed a stable membrane with no leakage. Five months after the third injection, OCT revealed intraretinal fluid. OCT-A showed a new branch of the neo-vascular membrane at the superficial capillary plexus. Following an additional ranibizumab injection, the membrane stabilized. It is conceivable that neovascularization developed due to, or in close conjunction with an epiretinal membranes already in place.