UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA
Objective: To study epidemiology, presentation and management of cases with unilateral proptosis presenting at a tertiary care hospital. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Jan 2016 to Dec 2017. Methodolo...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Army Medical College Rawalpindi
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/d4bc37ba2d13463fbffd57fe2ed62596 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:d4bc37ba2d13463fbffd57fe2ed62596 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:d4bc37ba2d13463fbffd57fe2ed625962021-11-23T03:39:13ZUNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA0030-96482411-8842https://doaj.org/article/d4bc37ba2d13463fbffd57fe2ed625962021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3593/3615https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study epidemiology, presentation and management of cases with unilateral proptosis presenting at a tertiary care hospital. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Jan 2016 to Dec 2017. Methodology: Retrospective analysis of hospital record of patients with unilateral proptosis was carried out. Data was entered and analyzed in SPSS version 22. Chi square test was used for statistical analysis. Results: Thirty-three cases of unilateral proptosis with a mean age of 41.79 ± 3.87 years were included in the study. Pain was the most common association. Proptosis was mild in 42.4%, moderate in 48.5% and severe in 9.1% cases. In 61% cases, diagnosis was made on excisional or incisional biopsy and on the basis of radio imaging in 39% cases. Most common cause of proptosis found was pleomorphic adenoma (12%). Patients with axial and non-axial proptosis were 48.5% and 51.5% respectively. Fourteen cases (42.5%) were managed surgically and 2 cases (6%) were observed. Total of 22 cases (67%) improved after treatment, 8 cases (24%) went into remission, 2 (6%) deteriorated, and 1 (3%) died in the study period. Conclusion: Unilateral proptosis is a diagnostic challenge. Pertinent history taking and detail examination is the key, but associated signs or symptoms not always point towards correct diagnosis. Tissue biopsy provides a conclusive diagnosis especially where radio imaging is doubtful.Ubaid Ullah YasinMuhammad Amer YaqubSyed Abid Hassan NaqviMuhammad ShahidAsad HabibMuhammad AwaisArmy Medical College Rawalpindiarticleexophthalmoshertelproptosispleomorphic adenomathyroid eye diseaseMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1755-1758 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
exophthalmos hertel proptosis pleomorphic adenoma thyroid eye disease Medicine R Medicine (General) R5-920 |
| spellingShingle |
exophthalmos hertel proptosis pleomorphic adenoma thyroid eye disease Medicine R Medicine (General) R5-920 Ubaid Ullah Yasin Muhammad Amer Yaqub Syed Abid Hassan Naqvi Muhammad Shahid Asad Habib Muhammad Awais UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| description |
Objective: To study epidemiology, presentation and management of cases with unilateral proptosis presenting at a tertiary care hospital.
Study Design: Case series.
Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Jan 2016 to Dec 2017.
Methodology: Retrospective analysis of hospital record of patients with unilateral proptosis was carried out. Data was entered and analyzed in SPSS version 22. Chi square test was used for statistical analysis.
Results: Thirty-three cases of unilateral proptosis with a mean age of 41.79 ± 3.87 years were included in the study. Pain was the most common association. Proptosis was mild in 42.4%, moderate in 48.5% and severe in 9.1% cases. In 61% cases, diagnosis was made on excisional or incisional biopsy and on the basis of radio imaging in 39% cases. Most common cause of proptosis found was pleomorphic adenoma (12%). Patients with axial and non-axial proptosis were 48.5% and 51.5% respectively. Fourteen cases (42.5%) were managed surgically and 2 cases (6%) were observed. Total of 22 cases (67%) improved after treatment, 8 cases (24%) went into remission, 2 (6%) deteriorated, and 1 (3%) died in the study period.
Conclusion: Unilateral proptosis is a diagnostic challenge. Pertinent history taking and detail examination is the key, but associated signs or symptoms not always point towards correct diagnosis. Tissue biopsy provides a conclusive diagnosis especially where radio imaging is doubtful. |
| format |
article |
| author |
Ubaid Ullah Yasin Muhammad Amer Yaqub Syed Abid Hassan Naqvi Muhammad Shahid Asad Habib Muhammad Awais |
| author_facet |
Ubaid Ullah Yasin Muhammad Amer Yaqub Syed Abid Hassan Naqvi Muhammad Shahid Asad Habib Muhammad Awais |
| author_sort |
Ubaid Ullah Yasin |
| title |
UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| title_short |
UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| title_full |
UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| title_fullStr |
UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| title_full_unstemmed |
UNILATERAL PROPTOSIS - A DIAGNOSTIC DILEMMA |
| title_sort |
unilateral proptosis - a diagnostic dilemma |
| publisher |
Army Medical College Rawalpindi |
| publishDate |
2021 |
| url |
https://doaj.org/article/d4bc37ba2d13463fbffd57fe2ed62596 |
| work_keys_str_mv |
AT ubaidullahyasin unilateralproptosisadiagnosticdilemma AT muhammadameryaqub unilateralproptosisadiagnosticdilemma AT syedabidhassannaqvi unilateralproptosisadiagnosticdilemma AT muhammadshahid unilateralproptosisadiagnosticdilemma AT asadhabib unilateralproptosisadiagnosticdilemma AT muhammadawais unilateralproptosisadiagnosticdilemma |
| _version_ |
1718417349512527872 |