Key points for diagnosis
1. Clinical Manifestations
The patient's vision diminishes abruptly, even with light sensation left and light reflex retardant or disappearing, and mydriasis occurs.

2. Fundus Examination
(1) The retinal arteries become as thin as lines with interrupted thrombus in segments, and the retinal veins also become thin.
(2) The retina being anemic, the posterior pole of the retina turns to cream white opacity with edema and typical "cherry-red" points occur in the macula.
(3) The boundary of the optic disc is cloudy and a little pale, and then turns to total paleness as the course of the disease advances.
(4) For those with obstruction only in the branched arteries, the above lesions occur only in the concerned parts and the symptoms of visual disturbance and cherry-red points in the macula are not obvious.

3. Fluorescein Fudus Angiography
The examination shows that the filling time of the retinal arteries is deferred and there is not any phenomena of fluorescence and perfusion to be seen in the front peak of fluorescein filling and in the obstructed vessels.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.