Author(s)

Nidain Maneh^1*, Mawuli Ayodele Komi Santos², Koffi Sylvain Kawilitetou¹, Dadjo Amouzou¹, Kossi Dzidzinyo³, Kokou Vonor⁴, Didier Koffi Ayena², Patrice Komi Balo²

¹Ophthalmology Department of CHU-Campus, University of Lome, Lome, Togo.
²Ophthalmology Department of CHP-Aneho, University of Lome, Aneho, Togo.
³Ophthalmology Department of CHU Sylvanus Olympio, University of Lome, Lome, Togo.
⁴Ophthalmology Department CHR-Tomde, University of Kara, Kara, Togo.

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.

Childhood Proptosis, Tumors, Infections, Lome

Maneh, N. , Komi Santos, M. , Sylvain Kawilitetou, K. , Amouzou, D. , Dzidzinyo, K. , Vonor, K. , Koffi Ayena, D. and Komi Balo, P. (2023) Epidemiological and Diagnostic Aspects of Childhood Proptosis in Lome (Togo) from 2010 to 2020. Open Journal of Ophthalmology, 13, 333-340. doi: 10.4236/ojoph.2023.134032.