However, PCV with typical features on ICG angiography of polypoidal dilations and a branching vascular network (Figs. 3B, D, E), as well as typical OCT findings of the double line sign showing the branching vascular network and the inverted U-shaped elevations of the retinal pigment epithelium typical of polyps (Figs. 3C, F) can occur in highly myopic eyes with elongated axial length. PCV lesions in highly myopic eyes can show resistance to antiangiogenic therapy