AIM:To analyse the therapeutic efficacy of traumatic optic neuropathy managed by non-surgical treatment.METHODS:Twenty-two cases(23 eyes) of traumatic optic neuropathy were treated with methylprednisolone combined with hypertonic dehydrant,vascular dilator,nutramines,neural nutrient,high-pressure oxygen and so on,and analysis of its effect were made.RESULTS:Before treatment,no light perception was in 7 eyes(30.43%),which reduced to 6 eyes after treatment(26.09%);Before treatment,light perception was in 5 eyes(21.74%),which decreased to 4 eyes(17.39%) after treatment;Before treatment,7 eyes(30.43%)whose visual acuity were 0.02-0.1,after treatment was still 7 eyes(30.43%);3 eyes(13.04%) whose visual acuity were 0.1-0.3,which increased to 4 eyes(17.39%) after treatment;Visual acuity was greater than 0.3 before treatment in 1 eye(4.35%),which increased to 2 eyes(8.70%) after treatment.Effective treatment was in 11 eyes,the total effective rate was 47.83%,12 eyes after treatment was ineffective,accounting for 52.17%.CONCLUSION:Traumatic optic neuropathy leads to severe destruction of visual function.The prognosis of visual function is poor.Non-surgical treatment of traumatic optic neuropathy can achieve a certain effect,but the overall effect was poor.