We present a case of serpiginous choroiditis in a 46-year-old graphic designer. The development of multiple scotomata urged the use of immunosuppressants although his visual acuity remained 20/20. A successful combination of corticosteroids, azathioprine and methotrexate was used in a stepladder approach. No new retinal lesions developed until the end of follow-up (18 months). Thanks to his profession, the patient enabled us to give an unique representation of his visual symptoms.