INJURIES OF THE GLOBE 173 



condition by contraction of the orbicularis palpebrarum. 

 This was a simple dislocation, without rupture of the 

 conjunctiva or any of the muscles of the globe. 



Treatment. — If the eye cannot be readily put back 

 into place, it will be necessary to produce general 

 anesthesia in order to allay the sensitiveness of the 

 cornea and relax the contracted muscles. Then, with 

 gentle pressure with the thumbs and fingers over the 

 outer and inner portions of the globe (avoiding pressure 

 on the cornea), reduce it to its normal position. If 

 you fail in doing this, make traction of the upper Hd 

 outward with an elevator. If you still fail to reduce it, 

 the outer tendon of the orbicularis may be divided, 

 when it can readily be reduced. This must be brought 

 together again with sutures in order to support the 

 globe, or it may be again dislocated spontaneously. 

 If too long a time elapses before the reduction of the 

 globe, the cornea becomes dry and hazy by reason of 

 exposure. It soon resumes its normal transparency, 

 but if it does not it must be treated as a superficial 

 keratitis. 



