Special case of multifocal serpiginous chorioiditis: plaque-like epitheliopathy

We report a case of a 9-year-old girl with multifocal serpiginous choroiditis. The ophthalmological examination revealed a significant decrease in visual acuity with signs of anterior and posterior uveitis in both eyes. After a treatment with topical and general corticosteroids for two weeks, the photograph of the retina revealed chorioretinal lesions with multiple bilateral foci starting from the head of the optic nerve to the retinal periphery, respecting the maculas producing the classic serpiginous chorioretinal lesion; with the beginning of healing in the center of the lesions. This typical lesion occurring in relatively adult subjects is specific to this age. Faced with the increased risks of recurrence, relentless monitoring is necessary. Keywords: Serpiginous choroiditis, Bilateral uveitis, Chorioretinal lesions, Child.