Polypoidal choroidal vasculopathy(PCV)is a fundus disease characterized by choroidal anomalous branch vascular network and terminal polypoidal dilatation. Submacular hemorrhages(SMH)and vitreous hemorrhage are devastating complications of PCV. Various techniques are available for the management of SMH, including pneumatic displacement with or without tissue plasminogen activator(t-PA), submacular surgery with vitrectomy and retinotomy/external drainge for clot extraction. This article reviews PCV clinical features, complications and especially new advances in surgery.