Myopic choroidal neovascularization (CNV), resulting from pathological myopia, is illustrated and discussed in this short video, narrated by Sebastian Wolf. Structural changes such as elongation of the eye, breaks in Bruch’s membrane (lacquer cracks), chorioretinal atrophy and lattice degeneration are identified and explored. New vessel formation caused by these degenerative changes, and the resulting pathology, are described in detail and anti-VEGF therapy is discussed as an effective treatment option.