采用经鼻外筛蝶窦进路行视神经管减压术治疗视神经外伤８例，结果发现该手术解剖标志清楚，方法较为简单、易学．其中４例取得明显的视力提高，视力分别从术前的无光感、无光感、光感、光感到术后的０．１、０．２－１、０．０６、０．２，５例眼球活动障碍的病人４例得到完全恢复．认为经鼻外眶筛蝶窦进路视神经管减压术目前不失为治疗视神经外伤行之有效的方法之一． The use of transnasal mesh sieve sinus approach optic canal decompression in the treatment of optic nerve trauma in 8 cases, the results showed that the surgical anatomy marks clear, the method is simple, easy to learn. Among them, 4 cases achieved significant visual acuity improvement, visual acuity respectively from preoperative non-light feeling, no light feeling, light feeling, light feeling after surgery 0.1,0.2-1,0.06,0.2,5 Cases of patients with ocular motility disorders were completely recovered in 4 cases. It is considered that the optic canal decompression through the nasal orbital sieve sphenoid sinus surgery is one of the effective methods for the treatment of optic nerve trauma.