Figure 4 A 67‐year‐old man (patient 19) was referred to our clinic with a six‐month history of metamorphopsia in the right eye (OD). At the initial visit, funduscopic examination of the right eye revealed only serous retinal detachment, and visual acuity was 20/25 OD. At one year after the initial visit, the exudative change had increased in the right eye, and his visual acuity decreased to 20/200 OD. Funduscopic examination of the right eye reveals subretinal haemorrhage with subretinal greyish material in the posterior pole (A). Indocyanine green angiography (IA) reveals a branching vascular network terminating in three extrafoveal polypoidal lesions (arrows) (B). Fluorescein angiography (FA) shows subfoveal classic choroidal neovascularisation (CNV), which is separate from the polypoidal lesions seen on IA (C, early phase; D, late phase). A sectional image with optical coherence tomography (OCT) along the white line shows subfoveal subretinal material with moderate reflectivity (long arrow) (E). He was treated with photodynamic therapy (PDT) in the right eye. The yellow dotted line indicates the laser irradiation spot at the first treatment. Two treatments with PDT and an intravitreal injection of triamcinolone acetonide were performed for the persisted classic CNV. A fundus photograph at 18 months after the first PDT shows subfoveal greyish material and extensive subretinal hard exudate (F). IA shows a branching vascular network terminating in three polypoidal lesions (arrows) and the root of the network (long arrow) (G). FA shows residual classic CNV subfoveally (H, early phase; I, late phase). OCT image along the white line shows residual moderate reflectivity (long arrow) and a slight elevation of the retinal pigment epithelium (arrow), both of which correspond to a branching vascular network (J). His visual acuity was 20/130 OD.