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).
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Sally S. Ong, MD, Department of Ophthalmology, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist, 1 Medical Center Blvd, Winston-Salem, NC 27157 (firstname.lastname@example.org).
Conflict of Interest Disclosures: Dr Ong reported receiving advisory board fees from EyePoint Pharmaceutical outside the submitted work. No other disclosures were reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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