Grid laser photocoagulation for atypical central serous chorioretinopathy

A 30-year-old man had symptoms and signs consistent with bilateral classic central serous chorioretinopathy. Conventional single-session laser treatments to both eyes stabilized the condition for 9 years. The patient then developed atypical central serous chorioretinopathy consisting of tracts of fluid emanating from the posterior pole and bilateral inferior exudative retinal detachments. Diffuse retinal pigment epithelial disease with recurrent leakage in both maculas was treated with grid laser photocoagulation, which was effective in stabilizing the patient's condition.