الفهرس | Only 14 pages are availabe for public view |
Abstract The most frequent causes of unilateral proptosis in this study were neoplasms followed by inflammatory disorders. The commenest age group was age range 20-60 years old. Unilateral protrusion of the eye presented in all patients in this study. Male to female was 1:1. chronic onset to acute onset was 1.2:1. Progressive course was the most common. Non axial proptosis was more common than axial proptosis. Visual deterioration was present in half of the patients and the avoidance of the visual deterioration was one of the most important aims in the early management. The endoscopic nasal examination was important tool in the diagnosis of our patients as a diagnostic visualization system and to gain a biopsy for the histopathology if indicated. CT scan and MRI were an important tools in the diagnosis as they gave an indirect visualization view of the pathological changes that cause the unilateral proptosis and also gave a map of surgery if indicated. Most cases (55%) of cases were presented at ophthalmology department followed by ORL department (30%) of cases then neurosurgery (15%) of cases. Most cases in our study were due to ORL disorders(70%). Ophthalmology disorders were (25%) of cases. Delay in presentation of cases to ORL department was noticed in all causes with highest percent of delay in congenital group > 1 month & in inflammatory group > 1 week which lead to dealing with a complicated cases. |