A case of microphthalmus with upper-lid cyst : clinical report / by Charles H. May ; pathological report by Ward A. Holden.

  • May, Charles Henry, 1861-1943.
Date:
[1906]
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Credit: A case of microphthalmus with upper-lid cyst : clinical report / by Charles H. May ; pathological report by Ward A. Holden. 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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    LID CYST. Clinical Report by Dr. CHARLES H. MAY ; Pathologi- cal Report by Dr. WARD A. HOLDEN. (With six figures on Text-Plates XII, and XIII.) The patient, William Gordon, was born December 21, 1904; precipitate labor, full term ; mother has tuberculosis ; mother's eyes normal. Present Condition (December 28, one week after birth) : The right eye appears normal. The left eye presents a large cystic protrusion, pink in color, occupying the entire palpebral aper- ture and appearing to consist of the everted conjunctival surface of the upper lid. (Fig. i, Text-Plate XII.) The cystic mass meas- ures iSwOT in width, i27nm in height, and projects xojnm. Upon puncture with a hypodermic needle there is an escape of a single drop of clear, yellow fluid, without any apparent reduction in the size of the cyst. The lids can be separated with difficulty by the aid of retractors, and when this is done it is seen that the protru- sion is attached to the upper lid. When the cystic mass is raised with a lid retractor and the lower lid drawn down, a microph- thalmic globe can be seen. The cornea measures jmm in width and dmm in height, is flattened, but perfectly transparent ; the iris presents an eccentric, pear-shaped pupil, with the narrow extremity pointing upward and inward ; there is a complete pos- terior synechia ; the area of the pupil is grayish and opaque (cataract), so that no view of the interior of the eye can be obtained. Five months later (May 3, 1905) the conditions were the same, Clinical Report. 424