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Pseudoflow was evident mostly in eyes with pattern II lesions, presence of flow signal within BVMD lesions, and lesions whose height represented 80% of the retinal thickness ( 0.001). Customized slab segmentation is effective in eliminating projection artifact in SS-OCTA images of BVMD. Projection artifact is a significant confounding factor in emerging SS-OCTA technology through production of pseudoflow signals that can lead to misinterpretation of images of BVMD lesions. The present study proposes a customized method for corre