Bilateral choroidal neovascular membrane in multifocal serpiginoid choroiditis in young children - Case report of two patients with swept-source optical coherence tomography angiography correlation

We present two cases of bilateral multifocal serpiginoid choroiditis (MSC) in young children with latent tuberculosis infection. Vitritis was seen in both cases. Multiple recurrences were noticed over regular follow-up visits. Anti-tubercular treatment was advised along with oral corticosteroids and immunomodulatory drugs for better remission. Swept-source optical coherence tomography angiography (SS-OCTA), used for monitoring disease activity, showed the development of bilateral choroidal neovascular membrane in both cases due to long-standing choroidal inflammation. Intravitreal anti-VEGF was administered for the regression of the neovascular membrane. MSC in the younger age group is a rare occurrence. This case highlights the importance of SS-OCTA and regular follow-up.