Report of the cases attended during the year 1837 / by R. Middlemore.

  • Middlemore, Richard, 1804-1891.
Date:
[1837]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the cases attended during the year 1837 / by R. Middlemore. 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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    nor did the eye itself appear to be much enlarged. A degree of fulness at the upper and outer side of the eye-ball maybe perceived on close examination when the palpebrae are widely separated. The child is very restless, and is manifestly suffering some degree of pain. It was evident that the per- formance of an operation constituted the only feasible means of relief. Operation.—Mar. 18,1837: present, Mr.Hodgson^ Mr. Ledsam, and Mr.Crompton. Having lengthened the intertarsal slit by an incision towards the temple, discharged the humours of the eye, passed a strong ligature through the sclerotica a little behind the margin of the cornea on each side, and, by its agency, drawn the eye forwards and upwards, I made a pretty deep semicircular incision through the conjunctiva, and somewhat beneath the globe, from the inner to the outer canthus, and united the extremities of this incision by a similar one made at the upper part of the eye-ball. The tumour was of considerable size and extended, as I imagine, through the optic foramen, so that it was not per- haps wholly removed. However, with the curved scissors, I succeeded in clearing the orbit. The soft and slippery character of the tumour, and the depth and situation of that small portion which, I think, remained, rendered it somewhat difficult and dangerous to continue my attempts to extirpate every portion in the situation of the optic foramen. On the completion of the operation, the little patient was extremely exhausted from loss of blood, and required the use of pretty active stimulants for at least an hour afterwards. The orbit was now