---

Retrobulbar neuritis associated with empty sella syndrome: A diagnostic challenge

---

Case Report

Author Details : Abhishek Agarwal*, Manisha Kataria

Volume : 7, Issue : 3, Year : 2021

Article Page : 602-604

https://doi.org/10.18231/j.ijceo.2021.119

Suggest article by email

Get Permission

---

Abstract

A 35-year-old female presented with sudden diminution of vision to finger counting at half meters in right eye (RE) since 15 days. RE showed grade III RAPD. Rest of the ocular examination was normal. She had no significant past medical history. Neuroimaging showed empty sella. We suspected retrobulbar neuritis (RBN) as a cause of loss of vision since there was no evidence of acute change in morphology of sella turcica like hemorrhage, trauma or ischemia, furthermore there were no pathological findings in RE and visual cortex to explain acute visual loss. Therefore, we prescribed intravenous steroids followed by oral steroids. Vision in RE improved to 6/12 after 15 days. We found that RBN can be a cause of sudden vision loss in cases with empty sella syndrome (ESS) and can pose diagnostic challenge that whether the vision loss is due to ESS or RBN.
Key Message: RBN can be a cause of acute vision loss in patients with ESS and can create diagnostic confusion.
 

Keywords: Empty sella syndrome, Retrobulbar neuritis, Sudden vision loss.

How to cite : Agarwal A, Kataria M, Retrobulbar neuritis associated with empty sella syndrome: A diagnostic challenge. Indian J Clin Exp Ophthalmol 2021;7(3):602-604

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.