. A treatise on the diseases of the eye. d thelips of the wound closed with sutures. Coloboma or fissure of the eyelids is a congenital deformity, which is butof rare occurrence. It is sometimes associated with cleft palate, harelip,coloboma of the iris and choroid, dermoid tumor on the cornea, and otherarrests of development. The fissure may be confined to one eyelid, or bepresent in both; or, again, a double cleft may exist, the two fissures beiug,perhaps, close to each other, and connected by a small intervening occurs most frequently in the upper lid. Mauz has recorded a case°ia
. A treatise on the diseases of the eye. d thelips of the wound closed with sutures. Coloboma or fissure of the eyelids is a congenital deformity, which is butof rare occurrence. It is sometimes associated with cleft palate, harelip,coloboma of the iris and choroid, dermoid tumor on the cornea, and otherarrests of development. The fissure may be confined to one eyelid, or bepresent in both; or, again, a double cleft may exist, the two fissures beiug,perhaps, close to each other, and connected by a small intervening occurs most frequently in the upper lid. Mauz has recorded a case°ia 1 A. f. O., xiv. 2, 145. INJURIES, WOUNDS, ETC., OF THE EYELIDS. 133 which there was coloboma of both upper lids, with cutaneous frsena arisingfrom the cornea, and running through the fissure into the skin of the fore-head. To cure this condition, the edges of the coloboma should be pared,and then accurately brought together by fine twisted sutures, which should,pass through the tarsus, the one suture being quite closely applied to the. free edge of the lid, so that the lips of the cleft may here be very evenly andaccurately united. [In rare cases the lids are wanting, either entirely or in part, and thismay occur alone without corresponding defect in the eyeballs, though thelatter and even the orbits may be entirely wanting, the skin of the foreheadand cheek being continuous. ( Graefe u. Saemisch, Handb., ii. p. 103.—B.] 134 DISEASES OF THE CONJUNCTIVA. CirAFTER OF THE CONJUNCTIVA. 1.— OF THE COJ^^.JLTNCTIVA. We not unfrequently meet with a hypertemic condition of the conjunctiva,,and it is of practical importance to distinguish this from a mild form of con-junctivitis. In the former condition we find, on everting the eyelids, thattheir lining membrane is abnormally red, and perhaps a little swollen, andtraversed by well-marked meshes of bloodvessels, which render the Meibo-mian glands somewhat indistinct. This increased redness may extend tothe ret
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