DISEASES OF THE LIDS 41 



through the skin or conjunctival surface. It may, 

 however, become absorbed before reaching the stage of 

 suppuration and disappear spontaneously, or it may 

 remain permanently enlarged and undergo fibroid 

 change. Large tumors press upon the eyeball and 

 produce much discomfort, besides, they are very un- 

 sightly. 



Treatment.— In the early stages the tumor can some- 

 times be aborted by gradually milking, or pressing out 

 the contents of the duct, and allowing free drainage. 

 If suppuration has taken place, the lid may be everted 

 and the tumor incised at the place of pointing, and the 

 contents scraped out with a small curet. If the tumor 

 remains chronically enlarged, as it often does, it is 

 better to dissect it out from the skin surface. By this 

 method the sac and all may be removed, and there is 

 less liability of the tumor recurring. They may appear 

 in other portions of the lid or several tumors may co- 

 exist. When excised from the outside the parts may be 

 brought together with a single stitch and the whole 

 covered with collodion. 



Tumors of the Eyelid.— The lid is subject to benign 

 and mahgnant growths. The former are the angioma, 

 a vascular tumor, and usually congenital; the granuloma, 

 an excess growth of healthy tissue, is nature's attempt to 

 heal a wound, which may appear as a flat growth, cover- 

 ing a large surface, or a polypoid soft growth at the mouth 

 of a sinus, a papilloma or wart on the surface or border 



