Ivory exostosis of orbits operated upon and observed during eighteen years with demonstration of patient : being a paper read in the section of ophthalmology at the Annual Meeting of the British Medical Association, July-August, 1902 / by Karl Grossmann.

  • Grossmann, Karl.
Date:
[1902]
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Credit: Ivory exostosis of orbits operated upon and observed during eighteen years with demonstration of patient : being a paper read in the section of ophthalmology at the Annual Meeting of the British Medical Association, July-August, 1902 / by Karl Grossmann. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Reprinted from tho HarrisH Medical Journal, Nov. ist, 1903. IVORY EXOSTOSIS OF ORBITS OPERATED UPON AND OBSERVED DURING EIGHTEEN YEARS, WITH DEMONSTRATION OF PATIENT. Being a Paper read in the Section of Ophthalmology at the Annual Meeting of the British Medical Association, July- August, 1902. By KARL GROSSMANN, M.D., F.R.C.S.E., Ophthalmic Surgeon, Stanley Hospital, Liverpool. The case which I have the privilege of showing here to-day is the same as I described as far back as 1887 in the December number of the Ophthalmic Review. Then it was interesting on account of the mode of operation adopted; to-day the course the disease has taken in the meantime will prove of equal interest. The publication of 1887 being no longer easily obtainable, I shall briefly mention the important points given there. I am able also to add photographs taken at different epochs of tbe history of the case. In 0«tober, 1884, the patient, then 24 years of age, came to me for the first time. Protruding below the inner half of the right eyebrow was a large roundish tumour, very hard, immov- able, completely filling the upper and inner half of the orbital margin (Figs. 1 and 2). The right eye was pushed outwards and downwards on to the right zygoma. The movements of the eye were free but impaired in all directions; the lids closed with difficulty. The conjunctiva was hyperaemic, the optic disc of a reddish colour, the retinal veins dilated; V=4§. The left eye was quite normal, but in the inner side of the orbit a small hard prominence about the size of a cherry-stone was distinctly to be felt; V=i. Ab for the history of the complaint, no information ^could be obtained as to any blow or fall.1 Later on, however—in 1896 and 1899—the patient said when 10 years of age he received an accidental blow on the forehead over the nose and right eyebrow. In October 1884, the patient stopped away, and did not return until September, 1886. The tumour had greatly