An 82-year-old man with newly diagnosed asymptomatic bilateral choroidal folds (Figure, A) had stable visual acuity (20/30 OU), normal intraocular pressures, no relative afferent pupillary defect, normal automated perimetry, and no papilledema bilaterally. Magnetic resonance imaging showed no orbital tumor or inflammation but demonstrated bilateral optic nerve sheath meningoceles (ONSMs) (Figure, B).