Summary of case history,　Patient Xu, a 17-year-old male student, was admitted to The Third People's Hospital of Changzhou on November 29, 2022 due to the symptoms of "fixed dark shadow in front of the left eye for 3 days." The patient developed dark shadow fluttering in front of the left eye 3 days ago without obvious cause,and then the symptoms progressively worsened to a fixed shadow before the eyes.So he was admitted to this hospital.He denied a history of preterm birth and oxygen use.He used to be in good health.He had a strabismus surgery on his right eye five years ago.,TCM diagnosis,　detachment of optic garment syndrome type: spleen deficiency dampness syndrome,Western medicine diagnosis,　rheogenic retinal detachment occurred in the left eye ;both eyes FEVR ;refractive errors in both eyes,Therapeutic methods,　In terms of western medicine treatment, it involves laser photocoagulation of the retina in both eyes, compression of the sclera ring in the left eye and lower retinal fluid surgery. After surgery, antibiotics and hormone eye drops are used locally to control inflammation. In terms of traditional Chinese medicine treatment, Wulingsan plus or minus the traditional Chinese herbal broth is taken orally, two times a day, 200ml once.,Clinical outcomes,　The curative effect outcome was followed up and reviewed in 3 months. The spleen deficiency and dampness of the child were improved .Vision in the left eye was restored, eye pressure was normal, subretinal fluid was completely absorbed, the retina was flat, and the rift was located on the spine with good closure.