Title: Etiological Prevalence of Proptosis: A Prospective Study
Authors: Dr Babita Sharma, Dr Ajay Sharma, Dr Shreya Thatte
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.76
Abstract
Introduction: Proptosis is the clinical manifestation of pathology that results in anterior displacement of the eyeball beyond the orbital margin. It is a common manifestation of wide variety of diseases of the structures in and around the orbit and in some systemic diseases.
Objective: The main objective of the study was to analyse the various causes for proptosis.
Material & Methods: 50 consecutive cases presenting in ophthalmology OPD with provisional diagnosis of proptosis, over a period of two years from May 2015 to April 2017, were included.Detailed ocular and systemic history, examination and relevant investigations were done in necessary cases. Also other related specialties opinion obtained whenever indicated for diagnosis.
Results: Males were more commonly affected. The age distribution showed clustering in 40-60 years age group. Inflammatory etiologies were the most common cause for proptosis accounting for 34% of cases, followed by neoplasm accounting for 32% of cases and infectious etiologies accounting for 16% of cases. 6% cases of proptosis had vascular etiology. Trauma constituted for 8% of cases. 4% of cases had Hydatid Disease.
Conclusion: Orbital lesions have diverse etiology and pathogenesis. This necessitates a spectrum of investigations for early and timely diagnosis of these cases. Delay in diagnosis of correct etiologic factors resulting in proptosis may cause threat to life and vision. Further studies with larger sample size are recommended.
Keywords: Proptosis, Etiology, Exophthalmos, Orbit.
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