Focal choroidal excavation (FCE)-related choroidal neovascular membrane (CNV) in a child

To report the rare clinical, optical coherence tomography (OCT), and OCT-angiography findings of a visually significant choroidal neovascular membrane (CNV) in the setting of focal choroidal excavation (FCE) in a child. Case report and literature review. A 9-year-old girl with FCE-related central CNV based on clinical findings and multimodal imaging. Patient's visual acuity and retinal findings progressed, and she started bevacizumab intravitreal therapy (off label) with resultant stepwise improvement of visual acuity and retinal imaging findings, including regression of a neovascular complex on OCT-A. This case highlights the successful use of bevacizumab for a rare choroidal neovascular complex associated with FCE in a child.