Biopsy documented polyarteritis nodosa in a patient who initially presented with ocular involvement. Although uncomun, a wide variety of ocular manifestations can be seen in polyarteritis nodosa. In this case, bilateral choroidal vasculitis was documented, first in the left eye, and one year later, in the right eye. The condition appears to be an acute posterior multifocal placoid pigment epitheliopathy in the left eye. In the fellow eye, serpiginous choroiditis-like lesions were observed.