Sindhu K, Downie J, Ghabrial R, Martin F
Department of Ophthalmology, New Childrens Hospital, Westmead, Australia.
J Paediatr Child Health. 1998 Aug;34(4):374-6. doi: 10.1046/j.1440-1754.1998.00243.x.
To retrospectively analyse causes of childhood proptosis and their investigations and treatment.
The records of children under 15 years of age presenting with proptosis to The Children's Hospital, Camperdown, Sydney, were reviewed for the period 1983-93 inclusive.
Fifty-seven cases of proptosis were found. In order of frequency the causes were; orbital cellulitis 22, thyroid eye disease 8, optic nerve +/- optic chiasm glioma 8, orbital rhabdomyosarcoma 7, metastatic neuroblastoma 4, orbital neurofibroma 3, orbital haemangioma 2, metastatic Ewing's sarcoma 2 and orbital dermoid cyst 1. Treatment depended on the cause (antibiotics, antithyroid drugs, chemotherapy, radiotherapy, surgery) and was multidisciplinary.
The most common cause of proptosis in children presenting to The Children's Hospital, Camperdown, Sydney, was infective orbital cellulitis. The most useful initial investigation was an orbital computed tomography scan. Treatment depended on the cause of the proptosis and was multidisciplinary.
回顾性分析儿童眼球突出的病因及其检查与治疗情况。
对1983年至1993年期间（含1993年）就诊于悉尼坎珀当儿童医院的15岁以下眼球突出患儿的病历进行回顾。
共发现57例眼球突出病例。按发生频率排序，病因依次为：眼眶蜂窝织炎22例，甲状腺眼病8例，视神经及/或视交叉神经胶质瘤8例，眼眶横纹肌肉瘤7例，转移性神经母细胞瘤4例，眼眶神经纤维瘤3例，眼眶血管瘤2例，转移性尤因肉瘤2例，眼眶皮样囊肿1例。治疗取决于病因（抗生素、抗甲状腺药物、化疗、放疗、手术），且为多学科综合治疗。
在悉尼坎珀当儿童医院就诊的儿童眼球突出最常见病因是感染性眼眶蜂窝织炎。最有用的初步检查是眼眶计算机断层扫描。治疗取决于眼球突出的病因，且为多学科综合治疗。
