[ 753 ] 
The only method then to be purfued in fuch bad 
cafes would be at firft to endeavour to remove the 
fullnefs of the blood, and make ufe of fuch topical 
remedies as would contract without irritation. If 
the caufe remains, as the whooping cough in Su- 
fannah Earle’s cafe, no amendment of the eye can 
be expected, while the patient’s blood-veffels are con- 
tinually drained by frequent coughing. This illncfs 
therefore fhould be attended to, and removed as 
foon as poffible. 
But fhould the eye be fo enlarged, as to protrude 
itfelf out of the orbit, there feems no other way to 
leffen the bulk of the eye, than by making a punc- 
ture with a proper inftrument, to let out the aqueous 
humour; and then apply fuch agglutinant and con- 
tracting collyria , as may reduce the diftended coats 
and veffels to their former fize. This operation 
fhould be performed before the humours are vitiated, 
the fight loft, the veffels in a ftate of fuppuration, 
and the coats of the eye too far extended ; for at 
that time nothing lefs than extirpation can be of ufe. 
Profeffor Nuck, in his Trattatus de Duftibm Ocu - 
lorurn Aquofis , p. 120, {5? Jeq. relates the fuccefs he 
had in curing a young man by five repeated punc- 
tures, and a ftriCt obferyance in a proper ufe of all 
the non-naturals. 
I am, with the greateft regard and efteem. 
Dear Sir, 
Your moft affectionate Brother, 
and very humble Servant, 
D. P. Layard. 
y D CII. 
VoLo 50, 
