A female patient, 43 year old came to the outpatient clinic of Sohag university hospital complaining of diminution of vision in both eyes for 7 years. She has no history of diabetes mellitus nor systemic hypertension but she has been treated for 10 years of rheumatoid arthritis. On examination, her visual acuity was 5/60 in both eyes and the intraocular pressure was 15 mmHg in both eyes. The anterior segments of both eyes looked more or less normal on slit-lamp examination. The fundus photography is shown in figure-1. While the fluorescein angiography and OCT images are shown in figures 2 and 3 respectively.