The authors present the clinical features and role of various treatment modalities on the final vision outcome in traumatic optic neuropathy (TON). They retrospectively reviewed the records of patients with a diagnosis of TON over a four year period in a single eye clinic located in Nepal. They were able to identify 37 patients with unilateral TON, with road traffic accident being the most common cause (43.2%), followed by fall injury (35.1%). The demographic and clinical features of these recruited patients is presented in this study, along with the treatment methods and length of time from diagnosis to the start of treatment. Out of the different treatments offered to these reviewed patients, high dose intravenous methylprednisolone led to significant improvement in final visual acuity. Overall, there was no significant improvement in final visual outcome in patients with poor initial visual acuity and those with intracranial injuries.