. A treatise on the diseases of the eye. ; and as it gradually increased in size, he applied for adviceat Kings College Hospital, on June 4,1869. He then presented the followingappearance: The right eye protrudes considerably, and is so much displaced 800 DISEASES OF THE ORBIT. dowards and outwards, that the upper edge of the cornea is below the levelof the left lower lid (vide Fig. 254). The movements of the eyeball aregreatly curtailed both upwards and inwards. The upper lid is considerablyswollen, and at its inner angle is noticed an oval tolerably defined swelling,about the size of a large
. A treatise on the diseases of the eye. ; and as it gradually increased in size, he applied for adviceat Kings College Hospital, on June 4,1869. He then presented the followingappearance: The right eye protrudes considerably, and is so much displaced 800 DISEASES OF THE ORBIT. dowards and outwards, that the upper edge of the cornea is below the levelof the left lower lid (vide Fig. 254). The movements of the eyeball aregreatly curtailed both upwards and inwards. The upper lid is considerablyswollen, and at its inner angle is noticed an oval tolerably defined swelling,about the size of a large hazel-nut, which extends upwards to the the nasal prominence on this side is only very slightly enlarged. Theoutline of the upper and lower margin of the orbit can be easily traced withthe finger, and is found to be sharply defined and not at all swollen, or con-cealed by any tumor. The oval swelling, though firm and tense, is elastic,yields a distinct sense of fluctuation, and is slightly tender to the touch; the Fig. patient also experiences some dull pain, extending from the inner corner ofthe eye outwards over the orbit. The eye is somewhat injected and becomesirritable and watery on exposure to cold winds or bright light. But thesight and visual field are good, and the fundus oculi is quite normal, nor hasthe exophthalmos, and consequent stretching of the optic nerve, producedhypercemia and oedema of the retina or optic nerve. I considered the caseone of abscess of the frontal sinus, which had burst through the wall of theorbit, and strongly advised an operation, which was pexformed on June free incision was made over the most prominent part of the swelling; theskin and fibres of the orbicularis muscle were somewhat dissected back, andthe point of the knife was then plunged into the tumor, the incision beingenlarged to the size of the external wound. A large quantity of thick,greenish pus escaped, the eyeball gradually sinking back into its normalpo
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Keywords: ., bookcentury1800, booksubjecteye, booksubjecteyediseases, bookyear
