17,1 Ubaldo: Clinical Forms of Panophthalmitis 69 
cleation, and microscopical examination after the second opera- 
tion showed uveal tissue that had not been removed. (4) 
In our series of enucleations we have followed two methods; 
by the one method we sutured the rectus muscles and closed up 
the conjunctiva, and by the other we left the conjunctiva open 
without suturing the ends of the rectus muscles, making however 
proper provision for drainage. The results have been satisfac- 
tory so far as the recovery of the operated eye was concerned, 
the time required for postoperative treatment was shorter, and 
the recoveries uneventful. 
Those who advocate evisceration do so on the ground that 
removal of an eye in the presence of panophthalmitis means 
exposure to complicating septic meningitis or cellulitis. We 
have been very fortunate in our cases in escaping such compli- 
cations or accidents. We have performed twenty enucleations 
and thirty eviscerations in this series; and from 1911 to 1919 
there were one hundred seventy-nine eviscerations and one 
hundred forty-seven enucleations performed at the hospital. 
REFERENCES 
1. Annals of Ophthalmology (1912). 
2. Am. Journ. of Ophthal. (1919). 
3. Ophthalmology, Essays, Abstracts and Reviews (1911). 
4. The American Encyclopedia of Ophthalmology. 
