Transactions of the Ophthalmological Society of the United Kingdom Volume N . 9 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...sclerotic. The new formation, which thus appears to be thickening of the conjunctiva itself and episcleral tissue, does not appear to be very vascular, though the use of the forceps is attended with some superficial bleeding. The internal surface of each lid is smooth and normal in appearance. The swellings on the neck were pronounced by Mr. Jacobson to be due to subacute lymphadenitis, and, in accordance with his advice, the fluctuating upper portion was incised and some purulent fluid evacuated. On July 12th the thickening just around the cornea is softer looking and more greyish. An ulceration with a greyish floor is now visible about 3 mm. above the inferior edge of the mass, and another irregular larger one is seen toward its upper and outer border. Corresponding to this last, two greyish spots of ulceration are found on the hitherto smooth inner surface of the upper lid, the lowest one being just above the outer canthus. On July 17th the greyish mottling of the surface of the mass had become less marked, and the ulcerative spots had disappeared. But in the place of these last was an irregular, puckered nodulation of the surface of the mass, as seen best toward its upper and outer border. At one point, where was the spot of ulceration just above the outer canthus, the lid is beginning to adhere to the globe, one of the nodules having lengthened into a fraenum which is adherent by its other end to the seat of the lower ulceration which previously existed on the lid. On August 1st a small piece of the mass was removed for purposes of diagnosis, to the end that if it proved of a suitable character, the removal of the whole mass might be undertaken. The excised fragment, a cube of some 2 mm., was of a softish cartilaginous feel, of a pale greyish colour sl...