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Primary empty sella syndrome and central retinal vein occlusion
M Battaglia Parodi1, P Ramovecchi, G Ravalico
1Eye Clinic, University of Trieste, Italy.
Summary
Empty sella syndrome (ESS) can cause various symptoms. This report details a case where ESS complicated central retinal vein occlusion, suggesting optic nerve compression as a possible cause.
Area of Science:
- Ophthalmology
- Neurology
- Endocrinology
Background:
- Empty sella syndrome (ESS) is a condition where the pituitary gland shrinks or becomes compressed within the sella turcica.
- ESS can present with diverse systemic, neurological, and ophthalmological manifestations.
Observation:
- This report describes a unique case of primary ESS.
- The patient presented with central retinal vein occlusion (CRVO) as a complication.
Findings:
- A hypothesized mechanism suggests that optic nerve compression in ESS may impede axoplasmic flow.
- This can lead to optic nerve head swelling and subsequent compression of the central retinal vein, causing venous stasis.
Implications:
- This case highlights a potential link between ESS and retinal vascular events like CRVO.
- Understanding this association may improve the diagnosis and management of ophthalmological complications in ESS patients.