A correlation of funduscopic and fluorescein angiographic findings in the Fuchs' spot of high myopia is presented. A variety of ophthalmoscopic changes indicate that both serous and hemorrhagic detachments of the retinal pigment epithelium and neurosensory retina are associated with this lesion. Fluorescein angiography, however, reveals subretinal reovascularization from the choroid as the basic underlying disease in most cases reviewed. Wide variations in the ophthalmoscopic appearance of the pigmented maculopathy of high myopia necessitate a more descriptive approach than that indicated by the term "Fuchs' spot." Fluorescein angiography becomes a necessity to delineate neovascular lesions as paracentral tufts may possibly be treated with laser photocoagulation to reduce progression.