Evolutions of drop/particle size and size distribution in liquid-liquid dispersions and suspension polymerizations of methyl methacrylate (MMA) were monitored by using an online optical reflectance measurement (ORM), and effects of operating parameters such as the agitation rate, concentration of poly(vinyl alcohol) (PVA) dispersant, and initial concentration of poly(methyl methacrylate) (PMMA) in MMA monomer on the Sauter mean diameter (d 32 ) and size distribution of drop/particle were investigated. According to the variations of d 32 of drops/particles with time, four characteristic particle formation stages can be identified for suspension polymerization process. The factors that lead to increase the rate of drop break up, such as increasing of concentration of PVA and decreasing of viscosity of dispersed phase, would postpone the particle growth stage. The d 32 and size distribution breadth of drops/particles were significant increased when the liquid-liquid dispersions or suspension polymerizations were conducted at low PVA concentrations or MMA/PMMA solutions with high PMMA contents were used as the dispersed phase, in consistent with the scanning electron micrograph observation on final PMMA particles. It is clear that ORM can be effectively applied in online monitoring of size and size distribution of drops/particles in the liquid-liquid dispersions and suspension polymerizations.