Transactions . eball had gradually become moreprominent. No pain; no discomfort. Status Prossens.—Right eye as before. Left eye ^\ = pushed forward and a little downward, about 7mm. in advance of the right eye. Movements limited in alldirections about equally. Optic disc presents a conditionof simple atrophy. There was quite marked evidence ofvenous congestion present in the tissues of the orbit andeyelids. Headache this morning, but not before for vears. 14 209 210 Weeks: Endothelial Sarcoma of the OrUt. Transillumination of accessory sinuses negative. X-rayskiagraphs were taken by
Transactions . eball had gradually become moreprominent. No pain; no discomfort. Status Prossens.—Right eye as before. Left eye ^\ = pushed forward and a little downward, about 7mm. in advance of the right eye. Movements limited in alldirections about equally. Optic disc presents a conditionof simple atrophy. There was quite marked evidence ofvenous congestion present in the tissues of the orbit andeyelids. Headache this morning, but not before for vears. 14 209 210 Weeks: Endothelial Sarcoma of the OrUt. Transillumination of accessory sinuses negative. X-rayskiagraphs were taken by Dr. Caldwell. These showed ashadow which apparently indicated a hard mass, possiblybony projecting into the orbit, involving and projectmg fromthe greater wing of the sphenoid and the outer margm of theorbital plate of the frontal bone, extending from the apextwo-thirds of the distance forward toward the margm ot theorbit. Operation was advised. February 8, 1912, the patient was admitted to the INew pjg 1.—Small paracentral relative scotoma, left eye. York Eye and Ear Infirmary and a Kronlein operationperformed. The classical incision was made but, because,of unusual thickness of the tissues, a straight mcision on alevel with the lower margin of the eyebrow was extendedforward from the original incision about three-fourths of aninch The incision was carried to the periosteum justposterior to the margin of the orbit, the periosteum divideda few millimeters outside of the margin of the orbit andraised from the orbital surface well back toward the was found that the division of the bony margin of the Weeks: Endothelial Sarcoma of the Orbit. 211 orbit, in making the bone flap, was facilitated by using small,straight, rigid bone saws. After the wedge-shaped pieceof bone was reflected backward the orbital periostemn wassUt equatorially, and the contents of the orbit difficulty was experienced in recognizing a tumor:finally, a small dark-red mass f
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
