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Photo Essay
April 2002

Peripheral Curvilinear Pigmentary Streak in Multifocal Choroiditis

Arch Ophthalmol. 2002;120(4):520-521. doi:10.1001/archopht.120.4.520

A 40-YEAR-OLD white woman with photopsia affecting her left eye had an ocular history notable for myopia. Medical and surgical histories were unremarkable. Best-corrected visual acuity was 20/25 OU. Examination of the left eye revealed mild vitreous inflammation; scattered, discrete, midperipheral chorioretinal scars; and a circumferential pigmentary streak encircling the far periphery (Figure 1). The right eye was normal. Laboratory test results for sarcoidosis, syphilis, and tuberculosis were negative. On the basis of the acute inflammation, the diagnosis of multifocal choroiditis was made.