Description
A 47 year old male presented with reading difficulty owing to dense central and paracentral scotomata. The fundal appearances were unusual. Following investigations to rule out other causes of chorioretinitis, it was felt that the diagnosis was most consistent with inactive serpiginous choroidopathy. Given the advanced macular involvement, close clinical and ICG angiography observation were recommended. An antiplatelet therapy was also considered as vascular prophylaxis. A review of serpiginous choroiditis with discussion is presented.
