The purpose of this paper is to present the commonest ocular findings in children with brain tumor and to elucidate the role of the ophthalmologist, in conjunction with the pediatrician, the radiologist, and the neurological specialist, in the diagnosis.
The hospital records of 211 patients admitted to Los Angeles Childrens Hospital during the last 20 years with the diagnosis of brain tumor have been reviewed by me, with emphasis on the ocular findings. Although all of these patients were admitted to the neurosurgical service, an ophthalmological consultation was requested for many of them. A number of these patients were personally seen by me in the eye clinic and/or on the wards. In 172 patients, the diagnosis of brain tumor was histologically confirmed at operation and/or autopsy. In the majority of the remaining 39 patients, intracranial exploration was not done. In a few subjected to craniotomy, either the specimen