Current views on the pathogenesis and treatment of central serous choroidopathy

The majority of authors as a cause of formation of a leakage in central serous choroidopathy considers the disturbances of function of the pigmentary layer. According to Spitznas it is based on transformation of these cells from absorbing to extracting towards the choroid and retina under the influence of unknown factors (immunological processes, circulatory, inflammatory factors or stress). Marmor sees the lesion of the pigmentary epithelium as a disturbance of a cyclic action of the AMP neeth the neurosensory layer of the retina. There exist contemporary 2 methods of treatment of the central serous retinopathy. One part of the authors thinks that one should wait till the spontaneous remission, the other one--that in cases with the leakage situated beyond the risk area laser therapy can be applied.