Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz.

Haab O. (Otto), 1850-1931.

Date:: 1899

Credit: Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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$Plate lo. Subcutaneous Hemorrhage in the Lids after Fracture of the Base of the Skull.—The hemorrhage is more marked in the upper than in the lower lid, which is the opposite of what is usually observed. Patient is 24 years old, male. Four days before, he jumped from a moving car and struck on the back of his head. He was unconscious twenty-four hours and complained of headache for a long time afterward. No other lesion was found. Cured after a rest of several weeks, part of the time in bed. No permanent injuries. Permanent injiirie.'i may result from a cut severing the upper lid or dividing one or the other lid in a vertical line, iiule.ss the wound is promptly and carefully sutured. Especial care must be taken to bring the edges of the wound together accurately at the free border of the lids. If the lower lid is torn at the inner cantluhs, permanent interru])tion of the lower canaliculus usually results in spite of the most careful aj)plication of .sutures; this has been referred to on p. 79. Fortunately, the upper canali- culus under ordinary conditions is able to carry off the lachrymal fluid. In ]iowder-burns the ])articles of powder are best re- moved by burning with the electric cautery after the wound has healed. 4. Tumors of the Eyelids. Benign Tumors.—Xanthelasma occurs in middle- aged ])ei\son.s, especially women, and occasionally requires operative treatment on account of the deformity. The patches are of a yellowish-brown color and slightly raised above the surrounding skin. Both eyes are u.sually af- fected, the patches being .symmetrically distributed above and below the inner canthus. Molluscum eonfac/iosum, as its name implies, is apt to s|)read over the body of the patient and infect tho.se who come in contact with him. The papules are as large as a pea or a cherry, and appear in large numbers, preferably on the lids and their surroundings. In proof of the con-$