41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine. VISUAL ACUITY: OD 20/40, OS 20/20. IOP: OU 19. The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is a serous macular detachment. There are pigment irregularities centrally. OS: Vertical C/D ratio is 0.0. The macula and periphery look fine. OCT SCAN: The OCT scan of the right eye shows persistent subretinal fluid. The left eye is normal. FLUORESCEIN ANGIOGRAM: The right eye shows hyperfluorescence centrally, which increases in late frames. The left eye is normal. IMPRESSION: 1. CHRONIC CENTRAL SEROUS RETINOPATHY - RIGHT EYE DISCUSSION: I explained to the patient with a serous macular detachment for a year and persistent vision loss, she now is an excellent candidate for therapy and at this moment the best treatment is photodynamic laser.