Abstract

Purpose: To analyze the etiological profile of proptosis and to evaluate the outcome following treatment.

Materials & Methods: All patients with proptosis, who attended the ophthalmology outpatient department at a tertiary care hospital during a period of one and half years were included in the study. Information regarding history and clinical presentations were recorded. Patients were examined clinically and necessary investigations were done to confirm the etiopathological diagnosis. Treatment modalities were decided depending upon the etiology. Follow up was done after 1 week, 3 week, 6 week, 3 months, 6 months subsequently following treatment. Final analysis was done at 6 months follow up. In a period of one and half years, 40 patients were evaluated.

Results: 42.5% had inflammatory diseases, 35% with thyroid associated ophthalmopathy, 12.5% were neoplasms, 5% were trauma, and 2.5% each were vascular and other category. 72.5% were treated medically and 7.5% treated surgically. On final analysis, 52.5% were fully recovered, 40% were partially recovered, and 7.5% were not recovered following treatment. 40% had improvement in vision while 2.5% had worsening following treatment due to development of complications.

Conclusion: Proptosis being a symptom can be due to various diseases affecting the orbit. It can be symptomatic or asymptomatic depending upon the etiology and associated clinical features. The final visual outcome is fairly good with early diagnosis and prompt treatment.

Keywords: Proptosis, visual acuity, exophthalmometry, visual outcome, recovery.