目的评价视神经损伤不同治疗方法的疗效及影响因素。方法对60例65眼外伤性视神经损伤进行总结分析。结果无光感者有效率21．3％，2周以内接受治疗者有效率39．1％，两周后接受治疗者有效率4．2％；有残余视力者有效率94．5％。结论治疗效果与治疗前是否有残余视力及开始治疗早晚密切相关。手术治疗与药物治疗效果无统计学差异，应首选药物治疗。 Objective To evaluate the efficacy and influencing factors of different treatment methods of optic nerve injury. Methods A total of 65 cases of traumatic optic nerve injury in 60 cases were analyzed. The results of light-sensitive response rate of 21.3%, within two weeks of treatment was 39.1%, two weeks after treatment, the effective rate of 4.2%; residual visual acuity was 94.5%. Conclusions The treatment effect is closely related to the residual vision before treatment and the start of treatment sooner or later. Surgical treatment and drug treatment showed no significant difference, should be the preferred drug treatment.