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Proptosis

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Proptosis is a common finding in orbital diseases. It can be due to congenital, inflammatory, infectious, neoplastic and miscellaneous disorders.

Published in: Health & Medicine

Proptosis

  1. 1. Dr. Ankit Mahesh Punjabi Kota Eye Hospital, Kota, Rajasthan INDIA Email: drankitalways@gmail.com PROPTOSIS
  2. 2. PLEOMORPHIC L G ADENOMA <ul><li>PRE.:- painless, firm, non-tender </li></ul><ul><li>CT scan </li></ul><ul><li>Tre.:- surgery </li></ul>
  3. 4. MALIGNANT LG TUMOUR <ul><li>Fast growing </li></ul><ul><li>Painful </li></ul><ul><li>CT scan </li></ul><ul><li>Tt.:- radiotherapy, surgery. </li></ul>
  4. 5. RHABDOMYOSARCOMA <ul><li>Most common primary malignant orbital tumour in children. </li></ul><ul><li>The four main histological type :- 1. Embryonal 3. Botyroid 2. Alveolar 4. Pleomorphic </li></ul>
  5. 6. CLINICAL FEATURES <ul><li>Presentation:- first decade of life with a rapidly progressive proptosis. </li></ul><ul><li>Examination:- diagnosis is conformed by biopsy. </li></ul><ul><li>Systemic investigations:-CT of the chest, abdomen & pelvis, liver function test,bone marrow biopsy, and skeletal radiographs. </li></ul>
  6. 7. RHABDOMYOSARCOMA
  7. 8. TREATMENT <ul><li>Radiotherapy:- </li></ul><ul><li>Chemotherapy:- </li></ul><ul><li>Exenteration:- </li></ul>
  8. 9. DERMOID CYST <ul><li>A benign cystic teratoma :- </li></ul><ul><li>The two main types:- 1. Superficial 2 . Deep </li></ul>
  9. 10. SUPERFICIAL DER0MOID CYST <ul><li>Located anterior to the orbital septum. </li></ul><ul><li>Presentation:-infancy, firm, round, attachment to suture. </li></ul><ul><li>Treatment is based on cosmetic indications. </li></ul>
  10. 12. DEEP DERMOID CYST <ul><li>Located posterior to the orbital septum. </li></ul><ul><li>Presentation:-adolescence, proptosis. </li></ul><ul><li>Treatment:-excision. </li></ul>
  11. 13. BLOOD CYST <ul><li>Relatively rare:- </li></ul><ul><li>May be associated with blunt trauma, lymphangioma, venous anomalies and blood dyscrasia. </li></ul><ul><li>Presentation:- progressive, non- tender proptosis. </li></ul>
  12. 14. MUCOCELE <ul><li>Frontal </li></ul><ul><li>Ethmoid </li></ul><ul><li>Presentation:- diplopia, proptopsis. </li></ul>
  13. 15. MACOCELE OF LEFT FORNTAL SINUS
  14. 16. OPTIC NERVE GLIOMA <ul><li>A slow-growing tumour. </li></ul><ul><li>Affect in adults. </li></ul><ul><li>Presentation:- visual loss first , proptosis. </li></ul><ul><li>Examination:-disc oedema , atrophy. CT scan, fusiform enlargement of ON </li></ul><ul><li>Treatment:- 1. Observation. 3. Surgical 2. Radiotherapy </li></ul>
  15. 17. MENINGIOMA <ul><li>Optic nerve sheath </li></ul><ul><li>Rare </li></ul><ul><li>Middle aged women </li></ul><ul><li>Pre.:- slowly progressive, U L ,visual loss. </li></ul><ul><li>Examination:- ocular movement restriction proptosis, disc oedema, atrophy. </li></ul><ul><li>CT scan - tubular thickning of ON </li></ul>
  16. 19. TREATMENT <ul><li>OBSERVATION </li></ul><ul><li>RADIOTHERAPY </li></ul><ul><li>EXCISION </li></ul>
  17. 20. METASTATIC <ul><li>Children </li></ul><ul><li>Neuroblastoma </li></ul><ul><li>Ewing sarcoma </li></ul><ul><li>Acute myeloid leukaemia </li></ul>
  18. 21. ACUTE MYELOID LEUKAEMIA
  19. 22. METASTATIC <ul><li>Adult </li></ul><ul><li>Breast </li></ul><ul><li>Bronchus </li></ul><ul><li>Prostate </li></ul><ul><li>GIT </li></ul>
  20. 24. TREATMENT <ul><li>Radiotherapy </li></ul><ul><li>Hormonal </li></ul><ul><li>Chemotherapy </li></ul><ul><li>Surgery </li></ul>
  21. 25. ADJACENT STRUCTURES <ul><li>Maxillary ca. </li></ul><ul><li>Ethmoidal ca. </li></ul>
  22. 28. N P
  23. 30. PRESEPTAL CELLULITIS
  24. 31. ORBITAL CELLULITIS
  25. 32. CAPILLARY HAEMANGIOMA
  26. 33. CAPILLARY HAEMANGIOMA
  27. 35. BILATERAL ORBITAL INVOLVEMENT BY LYMPHOMA
  28. 36. Thank You

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