Pachychoroid neovasculopathy (PNV) is a pachychoroid spectrum disease characterized by macular neovascularization (MNV), dilated outer choroidal vessels (pachyvessels), and/or increased choroidal thickness. In PNV cases, optical coherence tomography angiography (OCTA) can reveal MNV with high resolution. A 65-year-old male patient was admitted to our clinic with the complaint of decreased vision in the right eye. On dilated fundus examination, retinal pigment epithelium changes were present in the foveal and extrafoveal areas in both eyes. There was subretinal fluid in the fovea and irregular pigment epithelial detachment in the right eye. Subfoveal MNV was detected in 3 × 3 mm sections of OCTA. A non-exudative MNV was also detected in a larger 6 × 6 mm area imaged with OCTA. Simultaneous non-exudative quiescent MNV in the extrafo-veal region of the same eye can be observed. To avoid missing those cases, it is critical to perform OCTA imaging sections, including the extrafoveal areas.Keywords: Macular neovascularization, optical coherence tomography angiography, pachychoroid neovasculopathy.