BACKGROUND Punctate inner choroidopathy is a rare disease, which involves the outer retina and inner choroid. The ethiology is still unknown. PATIENT The case of a 23-year-old female patient, who noticed a central scotoma on the right eye, is presented. A mild decreased visual acuity of 0.7 was noted and on ophthalmoscopy multiple, yellowish dots on the level of RPE and choroid near the fovea were found. Angiography showed a hyperfluorescence of the dots in the early phase and marked leakage in the late phase. TREATMENT Under systemic treatment with corticosteroids the acuity and the fundus changes improved. Two weeks after corticosteroidtherapy was finished, a new onset with massive exsudation occurred accompanied by a sudden decrease in vision in her right eye to 0.1. On the last examination a parafoveal suretinal scar was discovered. CONCLUSION Punctate inner choroidopathy recurrences are common. However secondary neovascular membranes are described, in general the visual outcome is good.