Idiopathic Polypoidal Choroidal Vasculopathy (IPCV) is considered to be a variant of neo-vascular Age Related Macular Degeneration (AMD).1, 2, 3 and 4 The disease is characterized by polypoidal dilatations of the choroidal vasculature in the foveal or extrafoveal region, which results in hemorrhagic or exudative pigment epithelial detachments. In the natural history of PCV, half of the patients had persistent leakage or repeated bleeding and a poor visual outcome.4 Sho et al. also reported severe visual loss in 35% of eyes5 with IPCV.