Key points for diagnosis
1. Clinical Manifestations: The vision of one eye or both is rapidly diminished with serious visual disturbance occurring within a few hours or days. In some severe cases, light perception may disappear, accompanied by the pain of eyeball movement sometimes and the feeling of headache and dizziness in a few cases.

2. Photoreaction: There is disturbance of pupillary reaction in accordance with visual diminishment. The photoreaction is unstable or obtuse, even disappears.

3. Fundus Examination: (1) Papillitis  The optic papilla is congested and slightly protruded with edema. The retinal vein is ectatic with the artery often unchanged. There is hemorrhage or exudation in the surface of optic papilla or in the surrounding retina. (2) Retrobulbar neuritis  Normally there is no change in the fundus, but slight congestion occurs in the optic papilla when inflammation approaches.

4. Visual Field Examination
(1) Papillitis  The central scotoma can be found and sometimes the periperal visual field becomes concentrically contracted.
(2) Retrobulbar neuritis   Besides the central scotoma or dumbbell-shaped scotoma, there can also be found fan-shaped defect or periperal visual field contraction.

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.