In comparison with the typical forms of the central serous chorioretinopathy (CSCR), atypical forms are characterized by an older age, the presence of multiple and bilateral foci, the higher tendency for recurrence and the more accentuated functional damages. They may take the form of DRPE (diffuse retinal pigment epitheliopathy) and of gravitational epitheliopathy. Sedative therapy is justified by the particular psychic background which often accompanies this disease. Photocoagulation must be performed only in very selected cases in order to reduce the damage at the level of the macular photoreceptors.