CLINICAL PROFILE OF PROPTOSIS IN A TERTIARY EYE CARE HOSPITAL IN CENTRAL INDIA
Introduction- Proptosis is the protrusion or forward displacement of one or both eye balls from posterior pressure on the globe due to increased orbital volume either from intraorbital or intracranial space occupying lesion. The aim of this study is to find out the aetiology, clinical features, and it’s management.
Material and Methods- Study setting- Department of ophthalmology, BRLSABVM Medical College, Rajnandgaon (CG), India. Study duration- July 2017 to June 2020. Type of study- Prospective study. Sampling methods- Universal sampling method. Sample size- 875 patients presenting with ocular surface symptoms over a period of 3 year were included.
Results- In present study 875 patients presented with provisional diagnosis of proptosis, Out of them in only 48 patients confirmed proptosis was seen. In present study it was found more common in males than females. The most common etiology of proptosis in present study was orbital cellulitis, among them two had bilateral proptosis. Neoplasm was the second most common cause of proptosis affecting 13 eyes of 11 patients. The most common symptoms was protrusion of eye followed by eye pain & headache. Other symptoms are diminished vision, diplopia, diminished motility, epiphora, chemosis & proptosis.
Conclusion- Present study showed that the most common cause of proptosis is orbital cellulitis. The etiology and pathogenesis of proptosis is diverse, which can be vision or life threatening, highlighting the need for early and timely diagnosis of these cases, mandating various spectrum of investigations.
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