Introduction: CSCR is an idiopathic disorder of the outer blood retinal barrier. Investigations include FFA. It is self resolving in majority. Common treatment modalities include Laser photocoagulation and PDT. Present study conducted to compare medical management with laser management in CSCR. Methods: 34 eyes of 34 patients with chronic CSCR included in the study. 12 patients underwent medical management and 22 patients underwent laser management, followed by visual assesment, macular function test, FFA at 1,3 & 6 month following treatment. Results: 88.2% patients in study were males. 38.2% patients in study had visual acuity 6/9-6/12. Commonest site of leakage was upper nasal quadrant (29.4%). 77.3% undergoing laser phc showed improvement as compared to 25% in the medically trated group. Conclusion: Laser photocoagulation is an effective treatment for persistant CSCR on focal points of leakage.
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