When optic nerve atrophy occurs in children, it is important to identify the specific causes that lead to it and treat the cause: 1. It is caused by congenital glaucoma, a condition that requires surgical treatment to lower the patient’s IOP to a safe level as soon as possible in order to prevent further aggravation of optic nerve atrophy. As the retina and optic nerve of children still have some repair function, the optic nerve atrophy may appear partially improved after the IOP is lowered. 2, is due to congenital developmental abnormalities caused by optic nerve atrophy, usually related to genetic factors or viral infections occurring in the mother during pregnancy. There is no good way to treat it, but you can use neurotrophic drugs to protect the optic nerve to avoid further aggravation. 3. Optic nerve atrophy is caused by orbital or intracranial tumors in children, which cause pressure on the optic nerve and require surgery to remove the tumor as soon as possible.