Rapidly Progressed Tractional Epiretinal Membrane after Intrascleral Intraocular Lens Fixation

Abstract

Purpose: To report a case of a tractional epiretinal membrane that rapidly progressed after intrascleral intraocular lens (IOL) fixation (Yamane technique).Case summary: A 59-year-old male presented with acute-onset decreased visual acuity in the left eye, which occurred 2 days previously. He was diagnosed with IOL dislocation, and underwent vitrectomy and intrascleral IOL fixation following dislocated IOL removal. Choroidal detachment related to ocular hypotony was checked for 1 day after surgery, but there were no signs of leakage at the wound. Two months after the surgery, a tractional epiretinal membrane was present in the superior arcade. and cystoid macular edema was seen on fundoscopy. The best corrected visual acuity had deteriorated to 0.6. Vessel tortuosity and cystoid macular edema deteriorated due to progressive tractional epiretinal membrane 3 months after the surgery, while visual acuity decreased to 0.2. The tractional epiretinal membrane and internal limiting membrane were removed through secondary vitrectomy. Visual acuity recovered to 0.6 1 month after the surgery, and remained stable thereafter.Conclusions: We report this case because there have been no previously reported cases of rapidly progressing tractional epiretinal membrane after application of the Yamane technique.