Transactions . Fig. 1 Miss Ethel S., age 19 years, family history negative, hasalways lived on a farm, physical condition good, subsequentlaboratory tests negative. Began to menstruate at fourteenyears; at this time it was first noticed that the upper lid wouldswell at times with a slight droop, this droop gradually in-creasing so that it soon became complete. The left eye wasnegative. It has been suggested by some writers that in this condi- 205 tion there is a hernia of orbital fat, so that the protrusion ofthe eye ball was measured by the exophthalmometer and theright eye, the one with the
Transactions . Fig. 1 Miss Ethel S., age 19 years, family history negative, hasalways lived on a farm, physical condition good, subsequentlaboratory tests negative. Began to menstruate at fourteenyears; at this time it was first noticed that the upper lid wouldswell at times with a slight droop, this droop gradually in-creasing so that it soon became complete. The left eye wasnegative. It has been suggested by some writers that in this condi- 205 tion there is a hernia of orbital fat, so that the protrusion ofthe eye ball was measured by the exophthalmometer and theright eye, the one with the blepharochalasis was found to pro-trude 3 mm. beyond the left. Some months after the opera-tion another reading was made and no protrusion or exophthal-mos was evident. The refraction of the eyes was as follows: = 20/100;20/30 w -f ; = 20/20; 20/20 w -f On November 22nd, 1915, patient was operated by excis-ing a crescent shaped piece of skin with the subcutaneous. Fig. tissue and some orbital fat. The wound was stitched with in-terrupted sutures, seven in all. The middle suture was passeddown into the tarsus of the lid. The healing was prompt anduneventful. The result after operation is shown in Fig. 2. Microscopic examination—The excised section consisted ofskin, subcutaneous tissue and adipose tissue. There was a 206 thickening uf tlic stratiun curneuni with Hat c])itliclial cells inmany layers. There was an absence of adipose tissue in thecorium and general atrophy of the papillae. The stratumreticulatum was deficient in elastic fibers, showing a generalatro])hy. There was wide separation of the fibers in the sub-cutaneous cellular tissue, suggesting a preexisting edema. DISCUSSION Dr. \\. H. Crisp ot Denver: I have nothing to add to thi^ case is very interesting clinically. I have not happened to seesuch a case mvself. TRANSACTIONS OF THE TWENTY-FIFTH ANNUAL MEETING OF THE American Academy of Ophthalmology and Oto-Laryngology OT
Size: 1398px × 1787px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectophthalmology, bookye
