\ 



and Carcinoma of the Eije. 343 



putrid. It was necessary to preserve the opening by the 

 insertion of a small dossil of lint ; on the removal of which, 

 a vent was given daily to new matter, for a fortnight. Its 

 quantity gradually decreased, together with the prominence 

 of the eye; and at length it wholly ceased,'the wound healed, 

 and the child became well. The motion of the affected eye, 

 however, was not quite free toward the nose for several 

 months afterwards. 



Encysted tiunoiirs are sometimes also found in the adi- 

 pose substance that supports the eye. A melancholy in- 

 stance of this kind came under my notice a short time ago. 

 The tumour was iirst perceived between the orbital process 

 of the OS frontis and the globe of the eve, and it gradually 

 inerea-^ed in size. An attempt had been made to extirpate 

 it ; but the greater part was situated so deep, that it was 

 not possible wholly to remove it ; and, after a short period, 

 it reappeared, and in a few months completely pushed the 

 eye out of the orbit; after which vision was destroyed, and 

 the eye and the nunour i)ecanie so blended, as to render it 

 impossible to distinguish one from the other. The united 

 mass increased continually in size, until, before the child's 

 death, it was literally larger than his head*. Another case 

 Gt this kind came under my care, about the same time, in a 

 girl about five years of age, who was a patient of Mr. Drew 

 HI Gower-street. The tumour had been perceived several 

 Kionths, and, when I first saw it, projected under the upper 

 and outer edge of the orbit, and began to push the eye out 

 of its place. In th'S instance I made an incision through 

 the eyelid, parallel to the edge of the orbit, sufliciently deep 

 to exp ise the whole of the fore part of the cyst. I then 

 se|)araled the cyst from the orbit, and, embracing it with a 

 hook, drew it forward, and, dissegtino- it from all us attach- 

 ments, brought it away entire. The sides of the wound 

 were aftewards kept together by the use of adhesive plaster, 

 arnd the cure completed in a few davs. 



In some instances, again, a projection of the eye appears 

 to be occasioned solely by a mor'bid accumulation of the 

 substance on which the eye rests in the orbit. The repeated 

 application of leeches on the ten)pleand forehead, has been 

 lound of great use in subduing this morbid tendency. In 

 (uic case, that came under my own care, the projection was 

 speedily diminished by opening the temporal artery j and, 



* I presume that this may ho coiisidereJ a case of fungus hajmatodeis ; 

 tIioii;;h it origin;iled in an eiuyszcd tumour slluStcd lictween llie bu:iy orbit 

 a:u! i.;lolic of tlie rye, and did not afTect tlie tight until the eye was thrust out 

 ot the- orbit. 



Y 4 after 



