PROPTOSIS INCIDENCE AND CAUSES- A 2 YEARS STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 11
Abstract
BACKGROUND Exophthalmos (also called exophthalmus, exophthalmia, proptosis, or exorbitism) is a bulging of the eye anteriorly out of the orbit. Exophthalmos can be either bilateral (as is often seen in Graves' disease) or unilateral (as is often seen in an orbital tumour). Measurement of the degree of exophthalmos is performed using an exophthalmometer. Most sources define exophthalmos/ proptosis as a protrusion of the globe greater than 18 mm. The objectives of this study were 1. to determine the incidence of proptosis and the various etiological factors causing proptosis 2. to know common causes of proptosis among different age groups. MATERIALS AND METHODS A prospective analysis of 50 cases of proptosis was done over a period of 2 years. Detailed ocular and systemic history, examination and relevant investigations were done in necessary cases and also other departments’ opinions were taken where ever required for diagnosis and treatment. RESULTS Incidence of proptosis was found to be more common in patients above 50 yrs. of age. Incidence of proptosis was noted to be more common in males than females. Right eye was affected in 25 cases, left was affected in 20 cases and bilateral involvement seen in 5 cases. Majority of cases were found to have axial proptosis- 34 out of 50 cases. Most cases of orbital cellulitis, proptosis due to retinoblastoma and pseudotumour presented with axial proptosis. Fundus examination revealed disc oedema in 2 cases, optic atrophy in 3 cases. Radiological investigations revealed positive radiological evidence in 25 cases. The positive radiological findings were soft tissue shadow, expansion of orbit, dehiscence of bone, erosion of bone, enlargement of optic foramen or destruction of optic foramen. No congenital case of proptosis was seen. Primary orbital tumours accounted for 6% of cases and were adenoid cystic carcinoma of lacrimal gland, eosinophilic granuloma and osteoma. Secondary orbital tumours accounted for 28% of cases; out of these 24% were due to retinoblastoma, 18% were due to paranasal sinuses. Metastatic orbital tumours accounted for 6%; leukaemia, and carcinoma breast and lung, 2 cases of retrobulbar haematoma was diagnosed. CONCLUSION Secondary orbital tumours were found to be the most common cause of proptosis in this study. Investigative modalities like X– Ray, B-Scan, CT Scan, and MRI were very helpful in diagnosis treatment and follow up
Authors and Affiliations
Radhika M. , Bindu Madhavi M
Keywords
Related Articles
- EP ID EP615537
- DOI 10.18410/jebmh/2019/178
- Views 123
- Downloads 0
SIGNIFICANCE OF LACTATE DEHYDROGENASE AND ASPARTATE TRANSAMINASE AS BIOCHEMICAL MARKERS AND AS PREDICTORS OF SEVERITY OF PREGNANCY-INDUCED HYPERTENSION AND ITS COMPLICATIONS
BACKGROUND To compare serum Lactate Dehydrogenase (LDH) and serum Aspartate Transaminase (AST) of normotensive pregnant women with those of preeclamptic and eclamptic women. To determine the relationship of levels of ser...
EFFICACY OF LOCAL INFILTRATION OF AUTOLOGOUS BLOOD VERSUS LOCAL CORTICOSTEROID INJECTION- THE TREATMENT OF CHRONIC TENNIS ELBOW
BACKGROUND Chronic painful tendon disorders are common in both sport persons and common individuals. 1,2 Lateral epicondylitis (tennis elbow) is relatively more common among active individuals in the general population....
IMPACT OF HONEY DRESSING IN CHRONIC ULCER
BACKGROUND This was an open label study. Although, honey has been used for centuries in wound care, now only it is being integrated into modern medical practice. The resurgence of interest in honey as a medicine for mode...
A PROSPECTIVE OBSERVATIONAL STUDY ON COMPARISON OF LURASIDONE VERSUS ARIPIPRAZOLE BASED ON SERUM PROLACTIN LEVELS IN A TERTIARY CARE TEACHING HOSPITAL
BACKGROUND We wanted to determine and compare the serum prolactin levels in lurasidone, and aripiprazole drug administered psychiatric patients. METHODS A hospital-based prospective observational study was done in the ps...
TERRIEN’S MARGINAL DEGENERATION- A CASE REPORT
PRESENTATION OF CASE Terrien’s Marginal degeneration is a rare corneal degeneration which is usually more common in males and is bilateral, although asymmetrical. We would like to report a rare case of unilateral Terrien...