Figure 1.

A 64-year-old female presented with a decrease of vision (DOV) in the left eye (OS) for 12 days. Best-corrected visual acuity (BCVA) was 20/200, and the eye was pseudophakic. Fundus examination revealed submacular hemorrhage (SMH) (A), which was confirmed on optical coherence tomography (OCT) (E), showing a large pigment epithelial detachment (PED) with associated subretinal fluid (SRF). A diagnosis of polypoidal choroidal vasculopathy (PCV) was made and the patient underwent pars plana vitrectomy with subretinal tissue plasminogen activator (tPA) injection and sulfur hexafluoride (SF₆) gas tamponade. One month postoperatively, the SMH had resolved (B), with complete resolution of the PED and SRF on OCT (F), and BCVA improved to 20/80. At three and six months, the patient remained stable with further improvement in BCVA to 20/32, no recurrence of SMH on fundus examination ((C): 3 months; (D) 6 months), and a dry macula with complete absence of PED or SRF on OCT (G): 3 months; (H) 6 months).