| OCR Text |
Show as ENCANTHIS. or run rrnnrcrox. stretching the optic nerve, will cause blindness and deformity, while by filling the socket and pressing more and more on the eye, the operation of cutting them out becomes daily more difficult. rated, the whole is to be taken away. 4. The last part of the Operation is to dissect up the diseased conjunctiva from the surface of the eye-ball. After the operation, the eye may be fomented until a con- siderable quantity of blood be lost, and afterwards emollient fomentations will only be required, if no cancerous aifection has prevailed. ENCANTIIIS. Tun Encanthis is a tumour arising from or at least involv ing the caruncula lacrymalis, it is of a pale red colour, and irregular on its surface; as it increases it draws into its sub stance the semilunar fold of the conjunctiva and stretches its root along both eyelids. When this tumour is of a darker 61 OF THE PTERYGION. THE Pterygion is a pale red film, which stretches generally from the inner angle of the eyelids, across the cornea. It is one of the pure consequences of continued inflammation. When this web covers the whole eye it is called names. But hue and hard, and has lancing pains in it, and still more when becoming more active and vascular, it bleeds easily or gilt-1.35M mom the terms film and web deceive us, for this is not a new mem- brane formed on the surface of the eye, but only a congestion ulcerates, it is becoming cancerous. i Even before the tumour shows this cancerous character there occur good reasons for cutting it. oil". When it becomes rooted in the eyelids, and the cancerous disposition has spread, nothing but the extirpation of the whole eye will avail, if i t 3 in the cellular membrane, under the conjunctiva, which, as it were, loosens it from the sclerotica, at the same time that its vessels are increased in number, and become tortuous. This diseased state of the conjunctiva encroaches in a conical form on the lucid cornea: it is there too of the same nature; the even that is effectual. When the tumour is not of a malignant. nature, and when it has only produced the lesser evil of transparent outer lamina of the. cornea becoming opaque, and being at the same time loosened in its texture. a weeping eye, by its pressing the puncta, and caused inflammation of the eye, by preventing the eyelids from meeting, it OPERATION. We may do it thus : 1. The assistant turns down the lower eyelid with his finger, or with the assistance of a flat and blunt hook; the surn goon then with a pair of nice forceps, and very sharp knife, dis. sects oil" the root which the tumour has shot along the inside of the eyelid. 2. The assistant then turns up the superior eyelid, when the surgeon in the same way dissects oil" the root of the tumour from this eyelid. 3. Now the body of the tu~ Inour is to be pierced w ith the hook and drawn outward, and if it should appear that the carnncula lacrymalis is natural and ‘3 distinct from the turnmn, then the latter is to be dissected of! "r. W'? '12? ifi'vw rage-«3p y... 4. "our... "ip? may be cut out with more hopes of success. from the caruncula lacrymalis; but if they shall be incorp0~ l. THE patient being seated with a cloth under his chin, the assistant stands behind him and supports his head, having in one hand a sponge full of tepid water, which from time to time, in the progress of the operation, he pours into the eye, as it becomes obscured by blood. The assistant opens wide the eyelids. 2. The surgeon now with very fine forceps raises the apex of the pterygion which is 011 the cornea; he then pushes the knife, used for the extraction of the cataract, under the fold of the membrane which he has raised; he carries the knife for- ward until the edge shall have cut itself out, and have separated the very apex of the membrane from the cornea. |
