AIM: To introduce a new method of guiding by using 3D-OCT to treatment central serous chorioretinopathy(CSCR)with multiwavelength laser.

METHODS:Twenty-three cases(23 eyes)typicality central serous chorioretinopathy were collected in July 2010 to July 2013 in Changchun Aier Eye Hospital, using 3D-OCT model locate central serous chorioretinopathy leakage point and photocoagulation treatment with multiwavelength laser. Postoperative follow-up of 24wk, the postoperative vision and macular area retina neuroepithelial layer detachment height were observed.

RESULTS: Twenty-three cases(23 eyes)of central serous chorioretinopathy patients by the 3D-OCT guided multiwavelength laser treatment vision after 24wk of follow-up compared with before treatment. there was statistically significant(P<0.05). Visual improved obviously after treatment. OCT macular area before and after the treatment on macular area retina neuroepithelial layer detachment height(P<0.05). OCT macular area before and after the treatment of macular area retina neuroepithelial layer detachment height significantly decreased, slurry apparent absorption. Except 1 case lost visitors, 23 cases(23 eyes)with central serous chorioretinopathy did not see the whole body or eye local adverse reactions occur.

CONCLUSION: 3D-OCT guided by multiwavelength laser treatment of central serous chorioretinopathy and under the guidance of FFA in the central serous chorioretinopathy laser treatment have the same curative ratio, has certain clinical value.