A case of secondary hypernephroma of the iris and ciliary body / Burton Chance.

  • Chance, Burton Kollock, 1868-1965.
Date:
1907
Catalogue details

Licence: In copyright

Credit: A case of secondary hypernephroma of the iris and ciliary body / Burton Chance. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    faintly injected and numerous precipitates were lodged on Descemet’s membrane. In the right eye were signs of active chorioretinitis, though the blue iris was healthy. By October 20, the ciliary injection had increased considerably, while the tumor appeared to have spread out slightly, and to be less closely applied to the cornea. Also, it had become distinctly lobulated and irregular in outline. I believed that I had to deal with a very active and malignant process. The patient refused to have the eyeball removed, but on October 23, after inventing many pleas by which to escape from the hos- Flg. 2.—Section of iris tumor. pital, he at last consented to an operation for the removal of the tumor. I removed the tumor by a wide iridectomy. The incision was made with a broad keratome in the nasal limbus. As the space between the limbus and the tumor was small, and as I feared to lacerate the tumor, I withdrew this knife and lengthened the incision by lateral strokes with a narrow angular blade. This part of the operation was prolonged by a very annoying hemorrhage. With a many-toothed capsule forceps, I caught up as much of the surrounding iris as could