Patients with Oilier's disease (multiple skeletal enchondromas) and Maffucc
i's syndrome (multiple enchondromas associated with subcutaneous hemangioma
s) may develop skull base chondrosarcomas or low-grade astrocytomas as a de
layed consequence of these disorders. We report three patients with Ollier'
s disease and Maffucci's syndrome who bad diplopia as the initial manifesta
tion of intracranial tumors. Since patients with Maffucci's syndrome and Oi
lier's disease are at risk for the delayed development of brain and systemi
c neoplasms, neuro-ophthalmologists must be aware of the need for long-term
surveillance in patients affected by these conditions.