Clinical Profile of Unilateral Proptosis in a Tertiary Care Centre

Proptosis, the forward protrusion of the eyeball, is a common manifestation of a wide variety of diseases inside the orbit and its spaces. Its diagnosis is usually a combined effort of the ophthalmologist, otolaryngologist, neurosurgeon, and radiologist. A clinical study of twenty-five cases with un...

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Bibliographic Details
Published in:Journal of ophthalmology 2017-01, Vol.2017 (2017), p.1-4
Main Authors: Kamath, Manjunath, Kamath, Gurudutt, Kandula, Pooja, Dsouza, Susan
Format: Article
Language:English
Subjects:
Age
Analysis
Brain cancer
Care and treatment
Cellulitis
Chemotherapy
Diagnosis
Disease
Etiology
Exophthalmos
Histopathology
Lymphoma
Medical care
Medical imaging
Patients
Studies
Surgery
Tumors
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Summary:Proptosis, the forward protrusion of the eyeball, is a common manifestation of a wide variety of diseases inside the orbit and its spaces. Its diagnosis is usually a combined effort of the ophthalmologist, otolaryngologist, neurosurgeon, and radiologist. A clinical study of twenty-five cases with unilateral proptosis were studied in different age groups over a period of about 3 years under different headings like distribution, clinical features, radiological features, histopathological aspects, management, and outcomes of diseases. Proptosis measurement was done by simple/plastic ruler exophthalmometry, and diagnosis was made after a detailed clinical examination and ancillary tests. Treatment modality was decided based on radiological and histopathological examination reports, which included medical surgery, radiotherapy, and chemotherapy or a combination of all. In our study, most of the patients were in the age group of more than 60 years. The M : F ratio is 3 : 1. One case had a large proptosis of 18 mm above normal and 2 cases were as small as 3 mm. Diagnosis was mainly done by clinical features and confirmed by radiological and histopathological features. Most of them were treated medically (13 cases, i.e., 52%) and the rest by surgery with a combination of radiotherapy/chemotherapy (12 cases, i.e., 48%).
ISSN:2090-004X
2090-0058
DOI:10.1155/2017/8546458