84 PHILOSOPHICAL TRANSACTIONS. [anNO 1744. 



Accordingly Dr. H. performed the operation in the following manner : He 

 turned the patient backwards on a chair on an assistant's lap, her head supported 

 by pillows ; then keeping the skin tense with his fingers, made an incision about 

 an inch long with a small razor, beginning at the greater angle, and following 

 the direction of the fibres of the orbicular muscle towards the lesser angle. He 

 then passed a crooked needle armed with silk through the middle of the tu- 

 mour as deep as he could go ; and raising the tumour with the silk, with a fine 

 bistoury, he separated all the lateral adhesions from round the tumour ; and with 

 the point of the scissars, he cut the deeper adhesions, which could not be so well 

 reached with the bistoury, and brought away all that the thread had hold of. 

 Tliis seemed to be a tough membranovis substance, independent of the real tu- 

 mour : for, after this was quite taken out, there appeared a regular tumour, of a 

 spherical figure, smooth and even, about the size of a small pigeon's egg : he 

 passed the needle through the middle of it, as before, and plunged a lancet into 

 it as deep as he could, in order to let out any fluid matter it might contain, but 

 found nothing but a carnous substance ; then lifting up the tumour by the thread, 

 dissected it, with great care and caution, from the adjacent parts, as far as he 

 could ; in doing this he found several strong callous attachments on the side next 

 to the globe, which felt almost as hard as a cartilage, and obliged him to change 

 2 or 3 instruments. He then, with the point of the scissars, cut the inward 

 adhesions at the roots, and brought the tumour away entire. On putting in his 

 finger to the bottom of the orbit, he could feel several hard callous substances 

 still remaining; and keeping his finger on them, he slid a crooked needle armed 

 with silk round the point of his finger, with which he hooked those callous roots ; 

 then making an assistant raise the thread, and directing the scissars on the point 

 of his finger, where he felt the roots, with 2 or 3 snips he cut them quite away ; 

 so that he left the bottom even, and quite free, as far as he could judge. All 

 this while he had no great effusion from any artery, but a good deal of black 

 grumous blood from the varicose vessels. 



He dressed it up the first time with dry lint, which he did not take off till the 

 3d day; when he found a soft swelling in the eye-lids and conjunctiva, with a 

 slight inflammation and a pain in the forehead. He dressed the wound with a 

 soft dossel, dipped in common digestive and warm brandy, and ordered an emol- 

 lient fomentation to be applied every 1 hours : the pain in the forehead, and the 

 swelling continued for 3 or 4 days, without any appearance of matter. He then 

 touched the bottom of the wound with the lunar caustic, and some hours after 

 there followed a pretty large discharge of blackish blood, and immediately her 

 head was relieved, and the swelling subsided : a bloody sanies continued to issue 

 out the 1 following days, for which he injected warm water, with a little brandy 

 and honey of roses, after which it came to a pretty good digestion. As some 



