This patient with serpiginous choroiditis shows typical progression of the inflammatory and neovascular process over an 11-year period. Ongoing intravitreal Avastin and Ozurdex injections so far have kept him with good central vision.
Learning Points:
Serpiginous choroiditis is an idiopathic, usually bilateral chorioretinal inflammatory condition most commonly found in middle-aged men.
Recurrent areas of inflammation develop along the edge of a previous scar, producing scarring that meanders from the optic nerve outward into the macula.
Vision is good unless scarring or macular neovascularization extends through the macular center.
