Objective: In this study we aim to report treatment and follow-up results of reactive retinal astrocytic tumors (RRATs) which were diagnosed at our clinic in the last 20 years.Material and Methods: Retrospectively hospital charts of 30 eyes of 29 consecutive patients were reviewed. Recorded data were demographic details, visual acuities at the time of diagnosis and at the end of follow-up, accompa- nying fundus findings, mode and number of treatment and follow-up time. Results: Out of 29 patients 16 (55.2%) were female, 13 (44.8%) were male. Average age at the time of diagnosis was 36.1±22.0 years. One (3.4%) patient manifested bilateral RRAT. Three (10.3%) patients had secondary RRAT. Twenty four (80.0%) eyes were primarily treated with cryotherapy while 6 (20.0%) eyes were clinically observed. The mean initial visual acuity was 0.2±0.2. Following a mean follow-up of 33.5±33.3 months, the mean change in visual acuity was 0.02±0.12. The mean number of cryotherapy in the eyes which received cryother- apy was found to be 2.0±1.1 (range: 1-5). In one (3.3%) eye the tumor disappeared completely whereas in 26 (86.7%) the disease was either stable or regressed and 3 (10.0%) eyes showed progression. In 6 of 6 eyes which were managed with observation, either stable disease or sta- ble findings were noted at the end of mean 33.7±29.6 months of follow- up. Conclusion: RRATs are most commonly seen in 4th decade of life as unilateral tumors in the lower temporal quadrant. Even though mean 2 sessions of cryotherapy and/or observation of these tumors most com- monly result in anatomic control (86.7%), methods and factors which yield complete regression are to be studied.