An unusual cause of acute bilateral optic disk swelling with macular star in a 9-year-old girl.

We report a rare case of bilateral optic disk swelling with macular exudates and cotton-wool spots secondary to a pheochromocytoma in a 9-year-old girl. Malignant hypertensive changes in the eyes are uncommon and may sometimes resemble neuroretinitis. Overaggressive treatment of malignant hypertension can cause optic nerve infarction, leading to blindness.