A treatise on the diseases of the eye . there was no congenitaltrace of it,—twice as a sequel of scrofulous and once of variolous ophthal-mia,^—and that he has also seen it on one side only. How those diseases,however, can possibly give rise to this deformity, we must confess ourselvesunable to conceive. In the only two examples we have met with of it,—alady and her child,—it was congenital and existed on both sides. When this deformity is sufficiently great to impede the opening of thelids, it may be removed by pinching up a longitudinal fold of skin ofsufficient size to efface the epecanthis
A treatise on the diseases of the eye . there was no congenitaltrace of it,—twice as a sequel of scrofulous and once of variolous ophthal-mia,^—and that he has also seen it on one side only. How those diseases,however, can possibly give rise to this deformity, we must confess ourselvesunable to conceive. In the only two examples we have met with of it,—alady and her child,—it was congenital and existed on both sides. When this deformity is sufficiently great to impede the opening of thelids, it may be removed by pinching up a longitudinal fold of skin ofsufficient size to efface the epecanthis, including this fold in two ellipticalincisions, removing it and then bringing together the edges of thewound by harelip suture. (See fig. 42.) Dr. Ammon calls this opera-tion Rhinoraphy. Another operation has been tried, which consists in dividing the foldof skin itself transversely and trying to prevent its immediate reunion,but with little or no benefit. Dr. Mackenzie says if the folds do not exist in any great extent, the. * Zeitschrift, vol. i, No. 34. plate 5. f Ibid. vol. ii, No. 4, pae 1, fi< \ Bulletin General de Therapeutique, July. 1838, p. 45, 47.$ Ibid. 14* 162 TUMOURS OF THE EYE-LIDS. rising of the nose, as the person advances in age, may perhaps have theeffect of obliterating them.*] SECTION VI. TUMOURS. There is a great variety of these, some of them being analogous to whatwe meet with in other parts, while others are peculiar to this situation. NcBvi matcrni occur not unfrequently on the eye-brow or upper lid. Ina large one occupying the latter situation, the employment of the knifewould be inadmissible, not only on account of dangerous hemorrhage, butalso because the cicatrization of the wound might cause shortening or ever-sion of the lid. In such a case I lately employed the ligature with perfectsuccess ; the basis of the growth was so large, that I found it necessary totie it in three portions. In an infant of six months, there was a subcutaneou
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