中心性浆液性视网膜病变(Central serous retinopathy)又名复发性中心性视网膜炎、中心性浆液性脉络膜视网膜炎、中心性血管痉挛性视网膜病变、中心性浆液性脉络膜视网膜病变等,是一种原因不明,而以局限于黄斑部的视网膜浆液性脱离为特征的常见眼底病。多发于中年男性。临床表现主要是中度视力下降,中心或傍中心暗点,色觉异常,视物变形或视物变小。临床经过缓慢,有自愈倾向,复发率高。治疗方法较多,但对其疗效的评价一直有争论。现就有关本病治疗的一些资料,综述如下。治疗方法自1866年Von Graefe报告本病以来,由于时代不同对病因、病理认识上的差异,因此临床治疗曾先后使用过多种方法和药物。主要有抗组织胺类药物,利尿剂,抗结核药物,抗菌素,镇静剂,异性蛋白,高渗盐水,无 Central serous retinopathy (Central serous retinopathy), also known as recurrent central retinitis, central serous chorioretinitis, central vasospastic retinopathy, central serous chorioretinopathy, is an unknown cause , While the common retinopathy characterized by subretinal retinal detachment confined to the macula. Occur in middle-aged men. Clinical manifestations are mainly decreased visual acuity, the center or near center dark spots, abnormal color vision, visual distortion or visual material smaller. After clinical slow, self-healing tendency, high recurrence rate. More treatment, but the evaluation of its efficacy has been controversial. Some information on the treatment of this disease are summarized below. Treatment Since Von Graefe reported this disease in 1866, due to the different etiology and pathological differences, clinical treatment has used a variety of methods and drugs. Mainly antihistamines, diuretics, anti-TB drugs, antibiotics, sedatives, heterosexual protein, hypertonic saline, no