Cases illustrating two rare diseases of the eyelids ; Syphilitic gummata of the conjunctiva / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Cases illustrating two rare diseases of the eyelids ; Syphilitic gummata of the conjunctiva / by Charles Stedman Bull. 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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    probably not far from the tarsal fascia and palpebral ligaments. The infiltration spread forward into the lid and up on the forehead as well as backward into the orbit, and the latter direction was not taken until after the disease had lasted for some time, for the exoph- thalmus was a comparatively late symptom. It would have been ex- tremely interesting to have been able to follow the extension of the infiltration into the tissues of the lid, and note to what degree they were involved. The lid, towards the last, felt more like a piece of sole-leather than anything, so dense, unyielding, and homogeneous did it seem to be. Whether the perforation of the membrana tym- pani with the purulent otitis media had any connection with the orbital process, it is impossible to say, but it is probable that there was some such connection. The death of the child by coma pre- ceded by other brain symptoms, points almost conclusively to an extension of the orbital process backward into the cavity of the skull, and in this way the ear may have become secondarily involved. It is very unfortunate that the history of the case could not be com- pleted by a careful autopsy.