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Abstract. The visual acuity, central retinal sensitivity, macular thresholds, contrast sensitivity and temporal visual acuity were employed to assess the long term visual outcome in 23 patients with a history of central serous retinopathy (CSR). Twenty patients had unilateral CSR, and 3 had had bilateral disease. The unaffected eyes had significantly better visual acuities (P<0.014), better retinal sensitivities (P<0.006) and lower macular thresholds (P<0.008) when compared with affected eyes. The eyes with CSR whose visual acuities were mildly affected (6/9) showed lower sensitivity for the high spatial frequency (P<0.0072). There was no significant difference in the temporal visual acuity between eyes with CSR and the non‐affected eyes.