and Carcinoma of the Eye. 341 



completely opake; the child, in other respects, being healthy, 

 and suffering no pain from tlie state of-' the eyes. Sanctioned 

 by the successful issue of the preceding cases, no particular 

 remedies were employed ; antl at the lime of my writing 

 this paragraph, which is just a year from the birth of the 

 child, the cornea of one eye is not only perfectly transpa- 

 rent for a considerable space round its circumference, but 

 the pupil can be seen through the dmiinished opacity that 

 remains in its centre; and though the cornea of the other 

 eye has improved less in its appearance, the transparency 

 of this also is evidently increased, and the iris is visible 

 through it, for the space of a line at least round its rim. 



In all these instances, the enlargement of the eye was 

 not sufficient to be of serious consequence independent of 

 the opacity of the cornea; and, when this oj)aciiy was dis- 

 sipated, the power ol vision was restored. But when, on 

 the contrary, the enlargement is not euiifincd to the cornea, 

 but extends to the sclerotica, and is so considerable that 

 the eyelids cannot be closed without difficulty, the patient 

 being not only blind, but unable to sleep without the aid of 

 opiates ; the prospect of restoring sight is wholly lost, and 

 the only cjuestion is, in what way ease may be obtained, 

 and dcformiiy obviated. It does not appear possible to do 

 more than this; nor can even this be accomplished by any 

 other mode than that of diminishing the size of the eye; 

 and the best manner of doing it I believe to be by means of 

 the ojjeration which has been recommended above in cases 

 of the staphvloma. 



Before an operation of so much importance be performed, 

 it is, however, essentially requisite to ascertain that the dis- 

 ease consists solely in an enlargement of the different parts 

 of the eye;' and that it is not produupd by the formation of 

 purulent matter within the eye; by a morbid alteration in 

 the structure of either its coals or humours; nor by the 

 undue accumulation of adeps,, or of any other substance, 

 behind this organ. 



When purulent matter is accumulated within the eye, 

 the inflanniiation and pain, which b nh precede and accom- 

 pany the enlargement, seem fully sufficient to distinguish 

 the peculiar n Uure of the disorder; and they at the same 

 time point out the necessity of procuring an adequate aper- 

 ture in the tunics of the eye, tiiroLigh which the n)atter may 

 be discharged. In a case of this kind, which I was desired 

 to see at a small distance iVom London, in which a youno^ 

 l.<dy, nine years of age, had sutflred agonizing pam several 

 >J.i\s, the sight of the c) c havmir been lost many years, and 

 Vs' ^ the 



