P. Santhi, Latha Hariharan
BACKGROUND Proptosis is the hall mark of orbital diseases. Prompt and early diagnosis become essential as this socket small space in between orbital wall will lead to increased damage than one expects, and removal of masses will become difficult in later stages. It causes cosmetic disfigurement which becomes alarming to patients. Aim- A comprehensive analysis of various aetiology and clinical profile of unilateral proptosis in tertiary eye care center. MATERIALS AND METHODS A hospital based retrospective case study of all the patients attending the orbit clinic of Department of Ophthalmology Each patient was thoroughly examined. After recording the detailed history including past history, general and ocular examination were carried out. All the findings were entered in a proforma for further analysis. Inclusion Criteria- All cases of unilateral proptosis. Exclusion Criteria- All cases of bilateral proptosis, enophthalmos, pseudoproptosis were excluded from the study. RESULTS Bilateral proptosis- 12 (6.41%), Unilateral proptosis- 60 (51.28%), the ratio of bilateral and unilateral proptosis is 1:5. Inflammation and neoplasms constitute more than 55% of the cause for unilateral proptosis in children under 15 years of age. CONCLUSION Unilateral proptosis was the presenting feature in the orbit clinic patients. Unilateral proptosis was eight times more common than bilateral proptosis. Defective vision was the commonest associated symptom. Inflammation was the commonest etiology found in adults, which leads to defective reversible defective vision.
