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Optic neuropathy is a visually disabling condition and has both primary and secondary etiology. In the later group, paraneoplastic lesions are a rare but important sub-group with many documented cases in literature. Almost all of these associations have been with small cell carcinoma of the lung1-4. We report a previously unreported case of bilateral optic neuropathy which was found to be secondary to a Papillary renal cell carcinoma.