目的：探讨鼻眶创伤合并视神经损伤的早期诊断与处理，提高视神经损伤的视力恢复。方法：对68例鼻眶创伤患者分别采用不同的术式进行复位，对骨折对位较好患者，行鼻窦内窥镜下视神经减压。结果：经神经减压和加用激素后，视力改善率为92．2％。结论：作者认为早期诊断及早期治疗可明显减少视神经损伤引起的失明。 Objective: To investigate the early diagnosis and treatment of nasal orbital trauma combined with optic nerve injury and to improve visual acuity recovery of optic nerve injury. Methods: 68 cases of nasal orbital trauma were treated with different procedures for reduction, the better patients with fracture alignment, sinus under endoscopic sinus decompression. Results: After nerve decompression and hormones were added, the visual acuity improvement rate was 92.2%. Conclusion: The authors believe that early diagnosis and early treatment can significantly reduce blindness caused by optic nerve injury.