FIG 10. It is important to distinguish RAP from other forms of AMD due to the high risk of neovascularization in the other eye when the disease is present in one eye. (A) RAP first manifesting in the left eye with spontaneous rupture of the RPE, we must keep a very close follow-up because of a possible involvement of the other eye. B. After 6 months the fellow eye is affected, and ICGA helps us to establish a correct early diagnosis. We can see the communication in early phases and the small hot spot in late phases of ICGA.