In Brief:
Serpiginous choroiditis, a progressive disorder of the retinal pigment epithelium, is an immunogenic condition of unknown etiology, which commonly demonstrates good responsiveness to corticosteroids and immunosuppression. We describe a case of tubercular serpiginous–like choroiditis that progressed, despite antitubercular medication, corticosteroids, and immunomodulatory treatment, which ultimately quieted after intravitreal methotrexate injections.
