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To investigate the incidence and clinical features of red blood cell (RBC)-coated intraocular lens (IOL) in breakthrough vitreous hemorrhage (VH) with subretinal hemorrhage (SRH) secondary to neovascular age-related macular degeneration (nAMD). Seoul National University Bundang Hospital, Seongnam, Korea. Retrospective cohort analysis. A total of 30 patients diagnosed as breakthrough VH with SRH in nAMD who underwent pars plana vitrectomy (PPV) were included in this study. Demographics and clinical characteristics of the subjects, v