Transactions . osis, and the thrombus as it organisescontracts and destroys them. It Avill be interesting, then, to consider how the processof centrifugal lymphatic permeation takes place in thestructures in and around the eyeball. Epibulbar epithelioma, unless it originates at the seatof a scar, almost always starts at the limbus. Fuchs haspointed out that one factor which probably predisposesthis part of the front of the eye to become the seat of acancerous growth is the anatomical arrangement of its* Trans. Ophth. Soc. of the U. K., vol. xxiii, p. 5, and vol. xxiv, p. 214. EPIBULBAR EPITHEL
Transactions . osis, and the thrombus as it organisescontracts and destroys them. It Avill be interesting, then, to consider how the processof centrifugal lymphatic permeation takes place in thestructures in and around the eyeball. Epibulbar epithelioma, unless it originates at the seatof a scar, almost always starts at the limbus. Fuchs haspointed out that one factor which probably predisposesthis part of the front of the eye to become the seat of acancerous growth is the anatomical arrangement of its* Trans. Ophth. Soc. of the U. K., vol. xxiii, p. 5, and vol. xxiv, p. 214. EPIBULBAR EPITHELIOMA. 2l9 epithelium The limbus is tlie only place in the oculai-conjunctiva; in which small papillae are normally these papillre we sometimes find, in the healthyeye, a proliferation of epithelium, the latter growing in theform of conical processes in the depth of the tissue. A growth starting in the ocular conjunctiva very soonattracts attention, and epithelioma is here likely to come Fig. ,/ ^ Shows the aj>pearances of the ei^ibulbar epithelioma in H. V—s eyeprevious to the application of radium bromide. under earlier observation than anywhere else in thebody. At first the neoplasm is confined to the conjunctiva andepiscleral tissue, and is movable with the conjunctivawhere it overlies the sclerotic. Its complete removal byoperation from the surface of the eye at such a stage, sothat no recurrence ensued, has several times been effected. In 1905, a man, jet. 51 years, came to me at MoorfieldsHospital, who three months previously had pricked hisright eye with a sharp blade of grass, so that it bled a 220 DISEASES OP THE EYELIDS AND CONJUNCTIVA. little ; two and a half months later, a fortnight before Isaw hiui^ he had noticed a small swelling at the seat of theinjury. I found a small tumour on the ocular conjunctiva,opposite the palpebral fissure, to the outer side of thecornea, and about 5 mm. from its maigin ; I took it to bean epithelial pla
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