INJURIES OF THE GLOBE 163 



siderable force by a billiard ball in the left eye. He 

 was seen twelve hours after the accident. The lids were 

 badly swollen, the eye closed. Inspection revealed a 

 rupture of one-third of the cornea near the inner margin. 

 The anterior chamber was filled with blood; the cornea 

 was clear. The case was nursed along with cold anti- 

 septic applications until the swelling subsided. The cor- 

 neal rupture failed to heal readily, still there was no 

 prolapse of the internal structures. After two weeks' 

 treatment, when efforts seemed to be of no avail in 

 saving vision, the eye was enucleated. The globe was 

 found to have been ruptured posteriorly at a point op- 

 posite to the anterior rupture, but much more extensive 

 and in a crescentic shape, nearly three-fourths around the 

 globe. This posterior rupture had readily healed; the 

 sclera was firmJy united. This goes to show that the 

 remote rupture is often more extensive than that where 

 the blow was received. In this case the lens was dislo- 

 cated and the iris torn. About the anterior rupture the 

 cornea was partly opaque or white in appearance. Had 

 the globe been allowed to remain in the orbit it would 

 have been of no value, as its function was destroyed. 

 The globe would have shriveled (phthisis bulbi), and 

 there would probably have been subsequent attacks of 

 inflammation. 



Punctures of the globe are caused by pointed, sharp, 

 or dull objects, and the result depends upon the location, 

 depth, and the condition of the object— that is, whether 



