762 
DEPARTMENT OF SURGERY. 
E Zincsulph., 3 ss. 
Aqua rosa, §j.. 
Aqua, ad q.s., Oii 
M. ft. sol., et filtra. 
The stitches may be removed from the eyelids on the third 
or fourth day. 
Enucleation of the Eyeball. —This is an ocular opera¬ 
tion which is only used as a last resort. When the eye is in 
such a condition that there is danger of complications which 
impair the appearance of the patient or endanger other ana¬ 
tomical structures to an invasion of the disease that involves the 
eyeball, it then becomes necessary to remove the eyeball ; in fact, 
when such conditions exist, enucleation is the only rational 
treatment, and procedure, in such instances, should not be de¬ 
ferred until the complications have become so serious as to re¬ 
duce the probable good results of the operation. The indications 
for the operation may be enumerated as follows : 
1. Staphyloma. 
2. Suppurative choroiditis. 
3. Rupture of eyeball. 
4. Accidental injuries. 
5. Injuries from heat or chemicals. 
1. Staphyloma .—Bulging of the cornea which will not yield 
to milder treatment, both surgical and therapeutic, may in 
time become a source of annoyance; the protrusion may be¬ 
come large and unsightly ; or, the condition may favor septic 
infection and become very painful. When a staphyloma de¬ 
velops to such an extent that keratocentesis fomentations are 
inadequate, and there is danger of septic infection, or if sep¬ 
tic infection has already invaded the eyeball, the only remedy 
is enucleation. 
All diseases of the cornea that terminate in septic conditions 
of the eyeball may also be considered indications for the opera¬ 
tion in question. 
2. Suppurative Choroiditis is an infection of the choroid 
coat which in most cases involves the iris and ciliary bodies be¬ 
fore the condition can be arrested. The condition may follow 
surgical operations, such as paracentesis, sclerotomy, iridectomy, 
or result from penetrating wounds of the eyeball. Metastatic 
choroiditis is sometimes observed, but in most instances it is of 
an endogenous origin ; the septic material is carried to the cho¬ 
roid from some inflammatory focus by the choroidal vessels, and 
form septic emboli in the substance of the coat. Besides this 
