This 57YO female presented with 20/200 vision OD and counting fingers vision OS from bilateral multifocal choroiditis (MFC).
There is a newly symptomatic active macular neovascularization (MNV) in her right eye and an inactive disciform scar in her left eye.
OCT scanning shows intraretinal fluid overlying a hyperreflective MNV in the right macula with variable thickened and atrophic retina in the left macula. The MNV in the right eye is gradually improving with monthly anti-VEGF injections.
Learning Points:
MFC occurs in otherwise healthy adults, often myopic and female. Findings include multifocal variably pigmented scars throughout the posterior pole and periphery.
Unlike ocular histoplasmosis, new scars and uveitis can be seen. MNV can be successfully managed with anti-VEGF therapy.
