Serpiginous choroidopathy. A, Color fundus photograph shows an old peripapillary chorioretinal scar with an active serpentine lesion extending centrifugally into the fovea. B, Early-phase fluorescein angiogram demonstrates classic hypofluorescence, with hyperfluo-rescence of the edge of the older peripapillary chorioretinal scar. C, Late-phase angiogram demonstrates hyperfluorescence of involved areas. D, Autofluorescence image demonstrates a complete absence of autofluorescence in the area of older chorioretinal scarring, but not in the area of active extension. E, OCT image demonstrates disorganization of outer retinal layers and choroid nasal to and underneath the fovea that corresponds to the involved areas.