Idiopathic polypoidal choroidal vasculopathy (IPCV) has been recognized as a peculiar form of choroidal neovascularization. The clinical features of recurrent serous retinal leakage and retinal hemorrhage may vary from single lesion to multifocal, from self-limited to recurrent. Caucasian and Japanese patients with IPCV have been reported in the literature. However, research and case reports about IPCV in Chinese patients are relatively rare. We present 2 Chinese patients with IPCV in Taiwan with 2 different clinical pictures and visual outcomes during long-term follow-up. Further study for the etiology, clinical courses and treatments of the different subtypes of IPCV in Chinese is necessary.