450 Veterinary Medicine. 



Treatment. When dislocation is uncomplicated and recent, 

 say of a few hours standing only, it may be reduced and a favor- 

 able issue secured. The bulb should be first washed with water 

 which has been sterilized by boiling or rendered antiseptic with 

 sublimate (i : 5000), and can usually be pressed back by -steady 

 uniform pressure. The insertion under one lid of a small spatula 

 bent at the end or the one limb of a lid speculum may assist in 

 difficult cases. When replaced the parts may be again washed 

 with antiseptic solution and covered by a bandage wet with an 

 astringent collyrium. 



When the condition has been neglected for a day or more the 

 bulb is congested and swollen so that its return is rendered much 

 more difficult, and its subsequent retention may require much 

 care and ingenuity, The reduction of the turgid globe may be 

 assisted by opening the veins and arteries on the sclera, by 

 astringent applications, by massage, and in obstinate cases by 

 evacuation of a portion of the aqueous humor, by the aid of a 

 fine aseptic hypodermic needle. Finally the palpebral opening 

 may be enlarged by incising the outer canthus with a probe pointed 

 bistuory . When the eye has been replaced in its socket this must be 

 closed by suture. For the retention of the eye in such cases a band- 

 age may suffice, or this failing, the lids may be held together by 

 strips of adhesive plaster, or by collodion. In very difficult- 

 cases I^afosse and Trasbot recommend sutures through the skin 

 I J^ to 2 inches from the palpebral borders and the whole covered 

 with a bandage impregnated with an antiseptic and astringent 

 collyrium. 



It is not requisite to keep the bandage in position for over four 

 or five days as the swelling of the eyelids and other adjacent 

 structures effectually prevents any tendency to repetition of the 

 luxation, and the eye may be treated like an ordinary traumatic 

 lesion. 



At the outset, and later if need be, any foreign body in the 

 orbit should be removed and any detached pieces of bone which 

 cannot be retained firmly in position, and which are liable to 

 prevent healing or to determine infection of the wound. 



In the worst cases and in those that have been neglected until ' 

 gangrene or panophthalmitis threatens, the removal of the eye- 

 ball may be the only resort. The animal may be anaesthetized 



