Central plasma chorioretinopathy is a common fundus lesion characterized by limited plasma neuroepithelial detachment in and around the macula, often referred to as “central plasma” in clinical practice. retinitis”. In 1967, Gass described the pathology and clinical features of the disease in detail and discussed in detail the mechanism of the discoid detachment of the neuroepithelial layer, and named it “idiopathic central plasmacytoid chorioretinitis. “. Diet and health care 1, wolfberry chrysanthemum drink: 10 grams of wolfberry, 10 grams of white chrysanthemum, brewed with boiling water to drink as tea. Can nourish the liver and brighten the eyes, dredge the wind and clear heat. Used for the treatment of central plasma retinal choroidopathy caused by vision loss, dizziness, can also treat night blindness caused by retinitis pigmentosa. 2. 30 grams of adzuki beans, 30 grams of coic rice, 15 grams of enoki mushrooms and 15 grams of white lentils. Decocted with water 2 times and taken once in the morning and once in the evening. It can promote water and reduce swelling, and has a subduing effect on macular edema. 3. 30 grams of adzuki bean, 20 grams of Salvia miltiorrhiza, 20 grams of kelp. Decocted with water for 2 times, take 1 time in the morning and 1 time in the evening. It can invigorate blood and water, soften hardness and disperse nodules. Disease diagnosis Based on the symptoms, fundus manifestations and fluorescence imaging changes, the diagnosis of middle pulp is not difficult. However, there are cases of misdiagnosis and omission from time to time in clinical practice, which mainly need to be differentiated from the following diseases. 1. Inferior foramen-derived retinal detachment, small fissures occur in the retina of the lower pole peripheral part, shallow retinal detachment, the onset is very slow, and visual distortion or vision loss occurs only when the retinal detachment involves the macula, which may lead to misdiagnosis if small pupil examination. Therefore, it is important to emphasize the full dilatation of the pupil and detailed examination of the peripheral retina in these patients. In fissured retinal detachment, the neuroepithelial detachment reaches the peripheral part, and a three-sided microscopic examination can often reveal the peripheral fissure. In contrast, in central plasmacytoid chorioretinopathy, the lesion area is limited to the posterior pole, the peripheral retina is normal, and there are no retinal fissures. 2, idiopathic choroidal neovascularization (idiopathic CNV) idiopathic choroidal neovascularization occurs in young adults, more women than men. The visual impairment is severe, and if the lesion is located in the central recess, the visual acuity can be as low as 0.3 or less. A grayish-yellow exudate spot with hemorrhage in the macula is seen in the fundus, which is easily distinguished from the middle pulp. However, in some small CNVs without hemorrhage, the fundus is not easily distinguished from the mesoplasm. At this point, fluoroscopy is very important. Generally, the leakage point of medium pulp appears after the venous phase, while the leakage of CNV appears in the early arterial phase. 3, cystoid macular edema, clinically typical CME in the foveal performance under the examiner’s eye, will not be confused with the middle pulp, but some macular edema has not yet occurred cystoid changes, only the foveal staining is revealed during fluorescence imaging. 4, idiopathic polypoid choroidal vasculopathy, some older chronic or recurrent CSC cases, the fundus shows pigment epithelial detachment, neuroepithelial detachment with RPF pigmentary changes, FFA shows atypical fluorescein leakage, similar to some PCV manifestations where the fundus only shows exudation and RPE changes. The ICGA presentation of the two is significantly different, providing an important basis for differentiation.