and Carcinoma of the Eye. 349 



ptoms be reproduced. The hsemorrhage consequent on the 

 operation is seldom considerable. The arteries that supply 

 the eye with blood are not large ; and if a little time be al- 

 lowed, those that are wounded will contract of themselves. 

 It is desirable to avoid the application of lint or of any other 

 substance within the lids, since it sometimes has given 

 considerable pain ; and, in one instance, in which the 

 operation was performed by an eminent surgeon, it was sup- 

 posed to occasion violent convulsions by its pressure against 

 the divided end of the nerve. It is sufficient to apply over 

 the eyelids a compress of old linen, folded six or eight times, 

 and moistened with the liquor plumbi acetatis diiutus ; and 

 to direct the compress to be remoistened, without removing 

 it, as often as it becomes dry. If by accident the eyelid be 

 wounded during the operation, care should be taken to brino- 

 the divided ends together, and to confine them in their na- 

 tural position either by means of sticking-plaster, or of a 

 suture with a small needle and thread. Care should also 

 be taken, before the compress be applied, to adjust the ed<res 

 of the upper and lower eyelids, so as to hinder one from 

 lopping over the other. If, after the operation, the pain 

 continue violent, an anodyne should be given ; and, if ne- 

 cessary, it should be repeated after three or four hours; but 

 its repetition, I believe, will seldom be required. Sometimes, 

 after a week or ten days, the upper eyelid is observed to 

 tuck in under the lower; in consequence of which the upper 

 lashes, by rubbing against the inside of the lower lid, Have 

 been known to keep up a painful irritation. This may be 

 obviated by fixing the end of a slip of adhesive plaster on 

 the upper lid, and continuing it lengthways on the fore- 

 head, sufficiently tight to make a fold in the skin and hin- 

 der the edge of the lid from turning inwards. Cooling 

 medicines, and a spare diet, are necessary for a few days'; 

 btjt afterwards a light preparation of cinchona, totrether 

 with a nutritious diet, will be required. As the wound 

 heals, an adhesion usually takes place between the inside of 

 the eyelid and the bottom of the orbit; and when this hap- 

 pens, it is not possible to give the patient the benefit of an 

 artificial eye, as is done after the operation for the staphy- 

 loma or the hydrophthalmia; and he must be contented 

 either to wear a compress, bound by a ribband over the orbit, 

 era pair of spectacles, having plain glass in the ring before 

 the good eye, and glass that is cither plain, or in a slidit de- 

 gree opake, in that belore the aflccted eye. 



If, unfortunately, after a careful exlirpati(;n of a carcino- 

 matous eye, a tumour again arise in the orbit, it is vain to 



e.xnect 



