Diseases of the eye, ear, throat, and nose : a manual for students and practitioners / by Frank E. Miller, James P. McEvoy, and John E. Weeks.

  • Miller, Frank E. (Frank Ebenezer), 1859-1932.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the eye, ear, throat, and nose : a manual for students and practitioners / by Frank E. Miller, James P. McEvoy, and John E. Weeks. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    portion of the lachrymal gland is seldom affected. It is, on the whole, a rare disease, and may be recognized, in addition to the symptoms above described, by the presence of a hard swelling at the margin of the orbit, appreciable on palpation. If the patient is directed to turn the eye forcibly inward, a body usually as large as a small bean is made to push forward from the external portion of the upper cul-de-sac of the con- junctiva. What is the treatment? _ This consists in hot fomentations at the beginning to encourage forma- tion of pus. When pus is present the tumor may be lanced from the conjunctival surface, or, better still, the fomentations may be continued for a few hours and the pus be permitted to evacuate itself. Is hypertrophy of the lachrymal gland of frequent occurrence ? Hypertrophy of the lachrymal gland is very infrequent, and is prob- ably always due to sarcomatous degeneration. What are its causes and treatment ? The causes are unknown. The treatment consists in extirpation of the gland. What are the causes of cystic degeneration, and its treatment ? Cystic degeneration occurs very infrequently. It may be caused by traumatism, but is sometimes due to the presence of echinococci. Cystic degeneration of the gland is not infrequently associated _ with sarcomatous degeneration. When echinococci are the cause, simple puncture with evacuation of the cyst and destruction of its wall suffices to effect a cure. In other cases, particularly if sarcoma is suspected, the gland should be extirpated. What are the symptoms and treatment for canceroas degenera- tion of the lachrymal gland ? The lachrymal gland may be the seat of sarcoma or of carcinoma. The symptoms in these two forms of malignant growth are very similar. The gland becomes enlarged, and is felt under the upper outer angle of the orbit as a firm mass which protrudes into the orbit, and, when it has attained a sufficient size, compresses the tissues in its immediate vicinity. The globe is not infrequently pushed downward and inward by the in- crease in size of the growth. The treatment consists in total extirpation at the earliest possible moment. What is fistula of the lachrymal gland ? A condition usually due to traumatism, by which the tears find exit on the surface of the brow or cheek. The treatment of this condition consists in an endeavor to stop up the artificial opening on the skin and direct the secretion to the conjunctival