Serpiginous choroidopathy: Progression of disease over 5 years despite systemic immune suppression and intraocular steroid treatment. From 20/20 vision with a paracentral scotoma to loss of fixation with count fingers vision. The other eye had a similar course. This case demonstrates how chronic posterior uveitis can advance despite current treatments and how we need better, longer term therapies without severe side effects for these conditions. Image courtesy of [Charles Retina institute] #Jord
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