To analyse the history, clinical manifestation，imaging study, and treatment of optic nerve tumor for the diagnosis and treatment. METHODS:The clinical data for 36 cases with optic nerve glioma and optic nerve sheath meningioma treated during 2000 to 2009 were analyzed retrospectively. RESULTS:6 cases in all 15 cases of optic nerve gliomas found exophthalmos and 5 cases found vision loss for the chief complaint, and exophthalmos complicated with vision loss was in 2 cases. In optic nerve sheath meningioma group, 13 cases had the chief complaint of exophthalmos, and vision loss was in 5 cases, exophthalmos complicated with vision loss was in 3 cases. Ultrasound, CT and MRI all had typical performance.30 cases were treated with surgery, 6 cases with Gamma knife. CONCLUSION:The examination and imaging performance of optic nerve tumour have certain characteristic performance,which has important value for auxiliary diagnosis.Therapeutic schedule should be synthetically formulated with patients specific conditions,it is mainly surgery and radiation therapy at present.