Abidin Nur Azuriah, Ismail Ilham Ameera, Jamil Siti Nuradliah, Mustafa Norasyikin
MD, Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh Campus, Jalan Hospital, Selangor, Malaysia.
MBChB, Doc. in Fam Med, FRACGP, FAFP, Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh Campus, Jalan Hospital, Selangor, Malaysia. E-mail:
Malays Fam Physician. 2025 Jun 14;20:39. doi: 10.51866/cr.783. eCollection 2025.
Proptosis, commonly referred to as 'bulging eyes', is characterised by abnormal protrusion of the eyeball. This condition can arise from a variety of underlying causes, including thyroid eye disease, orbital tumours, inflammatory disorders and vascular anomalies. Timely recognition of proptosis and the underlying cause is crucial due to potentially vision-threatening conditions. We present a case series of patients who presented with proptosis and proptosis-like condition in a primary care clinic. All cases exhibited bulging of the eyes with protrusion beyond 21 mm from the orbital rim. The first case involved proptosis due to cavernous haemangioma; the second was a case of pseudoproptosis; and the final case was Oue so underlying thyroid eye disease. A comprehensive evaluation, including detailed historn-taVing and radiological imaging, was essential in identifying the specific causes of proptosis for each case, thus allowing for appropriate management strategies to be implemented.
眼球突出症，通常被称为“突眼”，其特征是眼球异常突出。这种情况可能由多种潜在原因引起，包括甲状腺眼病、眼眶肿瘤、炎症性疾病和血管异常。由于可能存在威胁视力的情况，及时识别眼球突出症及其潜在病因至关重要。我们展示了一组在基层医疗诊所出现眼球突出症和类似眼球突出症情况的患者病例系列。所有病例均表现为眼球突出，突出超过眶缘21毫米。第一个病例是由于海绵状血管瘤导致的眼球突出症；第二个病例是假性眼球突出症；最后一个病例是潜在的甲状腺眼病。全面评估，包括详细的病史采集和放射影像学检查，对于确定每个病例眼球突出症的具体原因至关重要，从而能够实施适当的管理策略。
