Evaluation of etiopathogenesis of proptosis
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 3
Abstract
Aim: To study etiopathogenesis of Proptosis by clinical evaluation and confirming it by histopathological examination. Materials and Methods: This is a prospective, interventional study carried out on 200 patients of proptosis attending Department of Oculoplasty and Orbital Disorders, of Sarojini Devi Eye Hospital, Hyderabad, which is attached to Gandhi Medical College. The study was conducted during the period of August 2011 to September 2013. All cases of proptosis which presented to our eye Hospital during the study period were included in study. The cases of proptosis that treated elsewhere were excluded from the study. All cases included were clinically evaluated using slit lamp, Hertel’s exophthalmometer, direct and indirect Ophthalmoscopy. Basic surgical profile was ordered in all cases who were suppose to undergo surgical intervention. Radiologically cases were evaluated by B scan ultrsonography, CT scan and / or MRI. In endocrine causes of proptosis T3, T4 and TSH was estimated Cases were subjected to orbitotomy to do incisional or excisional biopsy. Specimen were send for histopathological examination to come to final diagnosis. The cases of proptosis which require medical management were started on requisite medical treatment after confirming diagnosis. Results: Out of 200 cases 108 (54%) were males and 92 (46%) were females. 176 (88%) of the cases had unilateral proptosis and 24 (12%) had bilateral proptosis. 112 (56%) cases had axial proptosis and 88 (44%) had eccentric proptosis. Out of 200 cases, 148 cases (74%) had chronic onset, 40 cases (20%) had subacute onset and 12 cases (6%) had acute onset of presentation. Etiology varied from infection, Inflammatory conditions like TRO, NSOIS, benign neoplasias like Hemangiomas, Dermoid, Pleomorphic adenoma of lacrimal gland to malignant neoploasias like Lymphomas, Retinoblastoma, Rhabdomyosarcoma and miscellaneous condition like Carotico cavernous fistulas.
Authors and Affiliations
Mohammed Ather, Navneeth Servey, Rahmathunissa Rahmathunissa, T. Sai Shreya, Pallavi Gupta, S. Saudamini, Mohammed Arshad Ali
Keywords
Related Articles
- EP ID EP243686
- DOI -
- Views 143
- Downloads 1
Audit of primary tumors in oculoplastic cases at a tertiary care centre in North India
Introduction There is geographical variation in pattern of ocular tumors We aimed to identify and describe the clinicopathologic characteristics of primary tumors of the eye and ocular adnexa in oculoplastic clinics at o...
Clinical and ophthalmological manifestations in Neurofibromatosis Type1- An overview
Neurofibromatosis type 1 is an autosomal dominant, multisystem disorder affecting NF1 gene on chromosome 17. Ophthalmological manifestations of NF1 include lisch nodules, plexiform neurofibromas, malignant peripheral ner...
Eyelid metastasis from breast carcinoma misdiagnosed as chalazion
Metastasis confined to the eyelids represents less than 1% of all eyelid malignant lesions. Approximately 29% -70% of these have the breast as the primary site. The patient presented with right lower lid swelling of two...
Correlation of clinical features and histopathological examination of ocular surface squamous neoplasia
Aim To study correlation between clinical features and histopathological exam of ocular surface squamous neoplasiaMaterials and Methods This is a Prospective interventional study conducted at the department of Oculoplast...
A comparative study for the management of nasolacrimal duct obstruction; transcanalicular laser DCR vs conventional external DCR
Purpose: To evaluate the incidence and severity of intra operative and Postoperative complication and success rate of transcanalicular laser DCR and compare it with conventional external DCR. Method: This is a prospectiv...