Spinal Ewing Sarcoma Metastatic to Bilateral Orbits

A 39-year-old woman with primary spinal Ewing sarcoma and known lung metastases presented with painless bilateral decreased visual acuity over a 1-month period. Examination revealed bilateral disc edema. MRI of the brain/orbits showed metastatic lesions to the dura and bilateral orbits. Venous sinus thrombosis extending to the jugular vein was also noted. To the authors' knowledge, this is the first case of bilateral orbital metastasis and papilledema secondary to Ewing sarcoma and related hypercoagulability. Accepted for publication August 29, 2018. The authors have no financial or conflicts of interest to disclose. Address correspondence and reprint requests to Renelle Pointdujour-Lim, M.D., Smilow Cancer Hospital at Yale New Haven Hospital, 35 Park Street, New Haven, CT, 06511. E-mail: Renelle.lim@yale.edu © 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.