RT Journal Article SR Electronic T1 Primary optic nerve sheath meningioma. JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 960 OP 966 DO 10.1136/bjo.73.12.960 VO 73 IS 12 A1 Wright, J E A1 McNab, A A A1 McDonald, W I YR 1989 UL http://bjo.bmj.com/content/73/12/960.abstract AB Fifty patients with optic nerve sheath meningiomas have been reviewed with a follow-up of up to 15 years. The median age at onset of their symptoms was 40.0 years. The majority were middle aged females with a slowly progressive lesion. More aggressive lesions were encountered in a younger, predominantly male group of patients with frequent intracranial involvement. Our experience indicates that a more aggressive surgical approach to these lesions is needed to prevent this sequence of events. Meningiomas in older individuals often do not need treatment, though radiotherapy can be beneficial.