Profile of Proptosis in a Tertiary Care Centre

Abstract

Purpose-Proptosis is forward protrusion of eye ball. Due to its varied presentation, a profile of these cases would be helpful for an ophthalmologist to understand the spectrum of etio-pathology and thus take an early measure to save vision and even life of a patient. Material and Methods-This retrospective study was conducted at a tertiary care centre in West Bengal based on records on clinical analysis of patients attending eye OPD, eye emergency and those admitted to the inpatient department of ophthalmology and referred from other departments of this institution during July 2015 to July 2018. Demographic details, clinical presentation, investigation (X-Ray, CT scan, USG-B Scan, MRI, Pathology report) details were obtained. A total of 142 patients with 167 eyes were included in the study. Results-Among them, 85 were male and 57 were female with M:F ratio 1.47:1. Most frequent group (81; 57.4%) belonged to 50 to 65 years of age. 33 patients (23.4%) were below 15 years of age. Unilateral proptosis (82.4%) was more common than bilateral (17.6%) one and non-axial (53.89%) was more common than axial (46%) proptosis. Neoplasia was most common (41.91%) etiology followed by thyroid ophthalmopathy (15.56%), orbital cellulitis (11.37%), pseudo-tumour (8.98%), congenital lesions (5.9%), vascular lesions (5.9%), cystic lesions (5.3%) and trauma (2.39%). One patient presented with bilateral proptosis due to sarcoidosis (1.1%). Diagnosis was not confirmed in 2 eyes (1.1%). Conclusion-Unilateral proptosis was more common than bilateral one and neoplasia was the commonest cause of proptosis.