35 y female with bilateral progressive visual loss, anterior segment is free and with no systemic diseases. Bilateral assymetrical peripapillary hypo and hyperpigmented lesions that have a Snake-like appearance extending from the disc towards the whole posterior pole are typical for "SERPIGINOUS CHOROIDITIS" and showed areas of blocked flourescence with hyperflourescent margins that did not showed leakage except may be in some areas of the right eye suspicious for recurrence of activation. Serpiginous choroiditis is a rare bilateral assymmetrical choroiditis that have the previously mentioned pattern, recurrence could take months or even years and occurs at the margins of old scar that shows leakage in FFA. (arrows showed suspicious recurrence).No specific aetiology has been proven for the disease, however several reports correlated TB with SC. As TB may cause a serpiginous like lesions of multifocal choroiditis so if these lesions are less contiguous to each other with other peripheral lesions and vitritis, TB is more suspected to be the cause.