IJIMS.2016.153

Type of Article: Original Research

Volume 3; Issue 10: October 2016

Page No.: 439-442

DOI: 10.16965/ijims.2016.153

An Aetio-Epidemiological Inquiry of Proptosis

Amudhavadivu S 1, U. Vijaya Shanmugam *2.

1  Associate Professor, Department of Ophthalmology, Government Thiruvarur Medical College, Thiruvarur, Tamilnadu, India.

*2  Associate Professor, Department of Ophthalmology, KAP Viswanatham Government Medical College, Trichy, Tamilnadu, India.

CORRESPONDING AUTHOR ADDRESS: Dr. U. Vijaya Shanmugam, Associate Professor, Department of Ophthalmology, KAP Viswanatham Government Medical College, Trichy, Tamilnadu, India. Phone number: +919444346754 E-Mail: vijeyes@gmail.com

ABSTRACT

Introduction: The protrusion of eyeball from its normal position within the rigid orbital cavity due to differing pathologies locally or systematically results in a condition called proptosis. The incidence, causes, presentation with respect to direction, laterality, age and gender shows numerous differences. And so this study was aimed at inquiring the aetio-epidemiological basis of proptosis.

Materials and Methods: Cases reported to department of ophthalmology at a tertiary care setup for a period of 9 months with a provisional diagnosis of proptosis were clinically, opthalmologically examined and evaluated. The confirmed cases of proptosis were further studied for aetiology and detailed epidemiology.

Results: Among the reported cases 50 were confirmed to be cases of proptosis. The male: female ratio was 2.5:1. Unilateral proptosis and eccentrically oriented proptosis were observed in maximum number of cases studied. The age distribution showed clustering around >40 years range. The main causative factor for proptosis was observed to be neoplasm followed on by inflammation in this study.

Conclusion: Neoplasm as the primary aetiology warrants multi modal, multi-disciplinary approach in investigation and management of these cases of proptosis.

Key words: Proptosis, Aetiology, Epidemiology, Exophthalmos, orbit.

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