Optociliary veins, visual loss, and disc pallor in a child with a 22 year follow up

A case of optociliary veins, disc pallor, and long standing visual loss in an eye of a patient followed from age 2 to age 25 is presented. A review of the literature indicates the above triad to be usually suggestive of sphenoidal ridge meningioma. This case, the youngest thus far reported in the literature, also developed ocular hypertension in this eye and exophthalmos. The patient has refused further diagnostic workup.