The purpose of this case report is to outline the management of a 41-year-old female with pathological myopia and type II choroidal neovascularization (CNV) diagnosed by optical coherence tomography angiography (OCT-A) angio-B mode. The early detection of CNV with OCT-A angio-B mode and treatment with intra-vitreous injections of Bevacizumab contributed to the amelioration of her vision to 20/20, a better visual acuity than she had prior to treatment. This case report suggests that an OCT-A scan may reveal the initial formation of abnormal vasculature before pathological changes are evident in structural OCT, allowing for prompt treatment and resolution in patients with myopic CNV. •Higher degree of myopia is associated with greater risk for developing CNV.•Early detection of CNV is key for effective treatment and preventing irreversible damage.•OCT-A scan may reveal the initial formation of abnormal vasculature in myopic CNV.•Treatment with anti-VEGF injections can improve BCVA to 20/20.