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Introduction
Pathogenesis is unclear, but is apart of the pachychoroid disease spectrum. May be complicated by CNV

Dead Giveaways
Fundus
Conforming

Choroid dips, retina follows No deviation or ectasia of sclera
Pachy vessels can be seen under retina
Non-conforming

Choroid dips, but retina does not follow Retina maintains own normal structures
diagnostic features
If occurring with CNV, will be worse
On fundus image, there may be pigmentary changes.
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