The fundus vessels are the only blood vessels that can be observed in the living body. The pathological changes of many diseases in the fundus can be observed by various means, such as ophthalmoscopy, fundus angiography, laser confocal scanning fundus imaging, fluoresce in fundus angiography, optical coherence tomography, Doppler fundus angiography, etc. How to accurately extract the observed pathological changes has been a difficult problem in academia. This paper summarizes the main observation methods of pathological changes of fundus vessels and various extraction methods of pathological changes. Including fundus vascular tracking method, pixel classification method, matching filtering method, threshold segmentation method, etc. And generalized the image processing methods after fundus vascular extraction, hope to promote the further development of fundus vascular pathological feature extraction method, in order to facilitate diagnosis of clinical disease.