The invention discloses application of a notoginsenoside extract in preparation of drugs for treating xerophthalmia, ocular injuries, ocular vascular disease or ocular neurogenic disease; the xerophthalmia, ocular injuries, ocular vascular disease or ocular neurogenic disease include but not limited to xerophthalmia, retina retrogressive disease, retinal vein obstruction, retinal periphlebitis, hyphema, vitreous hemorrhage, corneal injury, retinal contusion, glaucomatous optic atrophy, drusen, age-related macular degeneration and diabetic retinopathy. A mode of eye local drug delivery adoptedby the invention has the advantages of being low in dose, high in safety, less in adverse reaction, and good in patient compliance; the safety risk brought by injection delivery is avoided; furthermore, after changing the drug delivery route, the metabolic pathways, action mechanisms and other aspects thereof are different from the injection, and better clinical application prospect is realized.