Clinical Profile of Unilateral Proptosis in a Tertiary Care Centre

الملخص EN

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%).