Abstract： Objective： To observe the clinical effect of vision-improving hot package combined with thumb-tack needling for subcutaneous embedding on diabetic retinopathy and its effect on ocular vascularity and blood flow. Methods：A total of 60 patients with diabetes retinopathy were selected as the research objects， and were divided into the control group and the trial group according to the random number table method，with 30 cases in each group. The control group received routine treatment，and the trial group received treatment with vision-improving hot package combined with thumb-tack needling for subcutaneous embedding on the basis of the control group. After 14 days of treatment， the scores of blurred vision and dry eyes [Visual Analogue Scale (VAS)]，retinal nerve fiber layer (RNFL) thickness around the optic disc， central retinal artery hemodynamics [peak systolic velocity (PSV) of central retinal artery， and resistance index (RI)] and Adjusted Diabetes Specific Quality of Life Scale (A-DQOL) scores before and after treatment，as well as the clinical effects were compared between the two groups. Results：The total effective rate was 93.33% in the trial group and 73.33% in the control group，the difference between the two groups being significant (P＜0.05). After treatment，the VAS scores for blurred vision and dry eyes in the two groups were decreased when compared with those before treatment， and the two scores in the trial group were lower than those in the control group (P＜0.05). After treatment，the retinal photosensitivity within 30 ° and 30 ° to 60 ° fields in the two groups were elevated when compared with those before treatment，and both indicators in the trial group were higher than those in the control group (P＜0.05). After treatment，the RNFL thickness above and below the optic disc，and on the nasal and temporal sides，as well as the average RNFL thickness，were declined in the two groups when compared with those before treatment，and all the five indicators in the trial group were lower than those in the control group (P＜0.05). After treatment， the levels of PSV and RI in the two groups were uplifted when compared with those before treatment (P＜0.05)， and the levels of PSV and RI in the trial group were higher than those in the control group (P＜0.05)；The PI levels in the two groups were decreased when compared with those before treatment (P＜0.05)，and the PI level in the trial group was lower than that in the control group (P＜0.05). After treatment，the scores of anxiety levelⅠ，anxiety levelⅡ，impact level，and satisfaction level in the A-DQOL scales in the two groups were decreased when compared with those before treatment (P＜0.05)， and the scores of the above four items in the trial group were lower than those in the control group (P＜ 0.05). Conclusion： Vision-improving hot package combined with thumb-tack needling for subcutaneous embedding can effectively improve the visual function， ocular vascularity and blood flow of patients with diabetic retinopathy，and thus improve the quality of life of patients，with significant clinical effects.