TITLE:
Epidemiological and Diagnostic Aspects of Childhood Proptosis in Lome (Togo) from 2010 to 2020
AUTHORS:
Nidain Maneh, Mawuli Ayodele Komi Santos, Koffi Sylvain Kawilitetou, Dadjo Amouzou, Kossi Dzidzinyo, Kokou Vonor, Didier Koffi Ayena, Patrice Komi Balo
KEYWORDS:
Childhood Proptosis, Tumors, Infections, Lome
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.13 No.4,
November
9,
2023
ABSTRACT: Background: Although proptosis is rare, it is nevertheless the
main sign of orbital disease. Its discovery usually indicates a serious eye
disease especially in children. Objective: To determine epidemiological
and diagnostic aspects of childhood proptosis in Lome (Togo). Methods: Retrospective cross-sectional study
conducted from June 2010 to May 2020, which is 10 years, in the ophthalmology department of
CHU-campus of Lome. Files of patients between the age of 0 and 15 who presented
a proptosis during the study period were taken into account in the study.
Patients with a false proptosis or incomplete records during the study period
were not taken into account in the study. Results: The study considered 42 children with an age
average of 7.63 years ± 4.96 [4 days; 15 years] and a sex-ratio of 1.33. The
frequency of proptosis was 0.5% with an average progression of 383.7 days
before the first consultation. The proptosis was unilateral in 80.95% of cases.
The orbito-cerebral CT scan was done in 47.62% of cases. The proptosis in these
patients was predominantly of grade 3 in 45% of cases. The tumor pathologies
were at the forefront in 35.71%, dominated by retinoblastoma, and followed by
infectious and inflammatory diseases in 14.29%. Conclusion: Childhood proptosis is rare and often indicative
of infectious and tumor pathologies in our context. Its diagnosis is delayed,
which shows the importance of an early and effective diagnosis.