120 Report made by Order of 



by the skin of the eyehd after the e::cis!«in of the conjunctiva : 

 he therefore endeavoured to remove a triangular stripe, com- 

 prising the whole thickness of the eyehd, including the tarsus 

 cartilage. This stripe, so far as we can understand the author's 

 description, ought to be nearly of the form of an isosceles triangle, 

 the small side of which corresponds with the free edge of the 

 eyelid. After removing it. Sir Wm. Adams brings the edges of 

 the wound together by suture, and the union generally takes 

 place in a few days. By following this process, the author is 

 of opinion that a relapse will always be avoided, and he quotes 

 several cases in support of liis opinion. In all the patients 

 treated in this ^^■ay, the operation was attended with no accir 

 dent whatever. 



This procesp, which, so far as we know, has never been em^ 

 ployed in France, appears to us very ingenious, and completely 

 attains the object proposed by the author. 



The second chapter of Sir Wm. Adams's work is not less in- 

 teresting than the first : it treats of the operation necessary to 

 form an artificial pupil. The author speaks in the first place of 

 the circumstances which render this operation necessary, among 

 which he particularly distinguishes the obliteration of the pupil, 

 the partial opacity of the transparent cornea, the protrusion of 

 the iris, &c. In this operation SirWm. Adams attacks the iris 

 in its posterior side, according to Chrselden's process : he re- 

 commends that the opening should be made as large as possible, 

 particularly if the operation is for an obliteration of the pupil 

 with complete transparency of the cornea. 



In cases where the transparency of the cornea is not extensive, 

 with adhesion of the iris, the instrument should be introduced 

 quite through the cornea, and attack the iris on the anterior 

 side, so as to destroy the adhesions hi the first place, and after- 

 wards to make the aperture directly opposite the transparent 

 portion of the cornea. 



Sir Wm. Adams has made a most successful application of the 

 property possessed by the extract of belladonna of dilating the 

 pu])il in cases where the opacity of the cornea is not extensive, 

 and situated opposite the pupil, by introducing^very morning 

 between the eyelids a drop of extract of belladoniia. A great 

 dilatation of the pupil is produced, and the patient is restored 

 to sight. A patient who underwent this treatment could 

 read the smallest characters with ease : when the influence of 

 the remedy ceased, the same person' could not distinguish the 

 largest objects. Here Sir Wm. Adams discusses the question, 

 whether the continued application of belladonna might be pro- 

 tluctive of incorveniences ? and he concludes in the negative. 



On? 



