Retinal imaging technology has progressed rapidly in recent years and plays increasingly vital roles in guiding the clinical management of retinal diseases, as well as facilitating greater understanding of the disease process. Polypoidal choroidal vasculopathy (PCV) is an important variant of neovascular age-related macular degeneration with distinct phenotypic features that can be seen both on clinical examination and using indocyanine green angiography (ICGA). In this issue of JAMA Ophthalmology, the optical coherence tomography angiography (OCTA) features of PCV are described and evaluated by Chi et al.1