AIM:To observe the optical imaging features of the elderly central serous chorioretinopathy (CSC).·METHODS:The clinical data of 17 cases (18 eyes) of elderly patients with CSC diagnosed by fundus fluorescein angiography (FFA),indocyanine green angiography (ICGA) and optical coherence tomography (OCT) were analyzed retrospectively during Jan.2008-Jun.2009.·RESULTS:The elderly patients had the same FFA,ICGA and OCT changes with the middle-aged patients with CSC,but also had some of its own characteristic changes.(1)The FFA found the rate of the typical RPE leakage form such as "smoke "or" ink stain " was seldom,only 39%.The other 11 eyes(61%) showed diffuse retinal pigment epithelial lesion;(2)The ICGA found there were some other changes which differentiated from the CSC,such as the serous pigment epithelium detachment (PED),polyp-like choriodal vessel dilation,and choriocapillaris atrophy;(3) The (Fourier Domain) FD-OCT also found some other changes besides the CSC lesions,including nodular eminence of the RPE layer corresponding to drusen,multifocal retinal atrophy,and the (inner and outer segment) IS/OS layer atrophy partly.·CONCLUSION:The elderly patients with CSC has complex changes in optical imaging,and it can be easily confused with age-related macular degeneration.The FFA and ICGA combined with OCT examination are helpful for diagnosis.