Figure 1: The color fundus picture, Optical coherence tomography (OCT) and Fluorescene angiogram (FA) pictures of the 58 year old Asian lady with serpigenous choroiditis with full thickness macular hole in the right eye (RE). She underwent vitrectomy with ILM peeling and C3 F8 injection after control of inflammation with systemic corticosteroids. A. Color fundus picture shows temporal peripapillary, grayish, helicoid lesion with pigmented borders. There is full thickness macular hole and vision of 5/60. B. FA frames shows central area of hyperfluoresence surrounded by patchy areas of hypofluorescence (Blocked by pigments), border of the lesion showed fuzzy leak. Macula showed central well circumscribed transmission defect with surrounding pooling of the dye in late frame and optic disc leak. C. Color fundus picture after 6 weeks after surgery shows closing of the macular hole with glial tissue proliferation in the area of macular hole. D. OCT image shows a full thickness macular hole, cystoid macular edema with surrounding retinal detachment. E. OCT image after 12 weeks of surgery shows complete closure of the macular hole with improvement of vision to 6/36.