Abstract: Objective To investigate the clinical value of FD-OCT in the diagnosis of traumatic macular disease.Methods A total of 80（80 eyes） middle-aged and elderly patients aged 50 years and above with traumatic macular disease were studied.All patients were diagnosed by fluorescein fundus angiography（FFA）,frequency domain optical coherence tomography（FD-OCT） and confocal laser tomography Heidelberg Retinal Tomography（HRT）.The results of FFA diagnosis were taken as gold standard,and the advantages and disadvantages of FD-OCT（FD-OCT group） and HRT（HRT group） were analyzed and compared.Results The positive detection rates of vitreous warts,choroidal neovascularization,retinal epithelial detachment and map-like atrophy in FD-OCT group were significantly higher than those in HRT group（P＜0.05 or P＜0.01）.The accuracy and specificity of FD-OCT were significantly better than those of HRT（P＜0.05）,and the sensitivity of FD-OCT was also significantly better than that of HRT（P＜0.05）.In the positive detection rate of macular lesions,the coincidence rate of FD-OCT diagnosis and gold standard test results was higher（P＜0.05）.Conclusion This study indicates that FD-OCT is more accurate with less damage to eye tissues in the diagnosis of traumatic macular disease in middle-aged and elderly patients,which is conducive to its early diagnosis and treatment.