A Case Report: Compressive Optic Neuropathy Secondary to Osteosarcoma in Right Scapula

Purpose: The purpose of this study was to report the case of a female patient who had an Osteosarcoma in right scapula and undergoing Chemotherapy with Resection surgeries experienced compressive optic neuropathy in right eyes. Case Presentation: This study involved a 25-year-old woman who was previously diagnosed with an Osteosarcoma of right scapula at age 22. A MRI scan revealed High grade osteoid producing Sarcoma in keeping with conventional Osteosarcoma with sclerotic metastasis. At age 23, a tumour resection was performed in conjunction with Chemotherapy and radiation therapy. Two year after resection and chemotherapy, there was marked decreased in visual acuity in right eyes with nasal blurring of disc margin on fundus examination. Conclusion: In this case, a large osteosarcoma occurred in Right scapula and it is thought that optic atrophy was caused by compressive optic neuropathy. Therefore, early detection and treatment are important. This is the first case report of Osteosarcoma causing compressive optic neuropathy.