A case of epibulbar echinococcus : with a review of the literature on the echinococcus cysts of the orbit / by J. E. Weeks.

  • Weeks, J. E.
Date:
[1889]
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Credit: A case of epibulbar echinococcus : with a review of the literature on the echinococcus cysts of the orbit / by J. E. Weeks. 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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    to the intraorbital tissue. The formation of a connective- tissue capsule about the hydatid is commonly met with. (See Zehender's case.) The following is a short review of all of the cases of intraorbital echinococcus that I have been able to find re- ported in medical literature : Schmidt, J. A.—(From review by M. Dieu, in Rec, d'Ophthal.^ Paris, 1883.) Case i.—W. P., male adult, age twenty-six years. In January, 1801, patient experienced a feeling of distension at the back of the right(?) eye. Three weeks later the sense of distension had increased, with pain in the eye and in the same side of the head. The globe protruded, and the patient saw flashes of light. Patient slept but little. At the end of the fourth week the pain was in- tense. The globe, which was pushed entirely from the orbit and toward the nose, was slightly red ; cornea clear, V == o. Patient was admitted to the hospital Feb. 4, 1801, in the above-described condition. On palpation a hard tumor was found at the outer angle of the orbit, extending behind the eye. Probably a stea- toma ; opium and hot applications. Death on the following day. Autopsy : death from cerebral venous thrombosis. On opening the orbit a fluctuating tumor was seen, filling the posterior por- tion, and extending forward beyond the outer and upper margins. The muscles, nerves, globe, and lachrymal gland were adherent. The membrane of the sac gave the characteristics of a hydatid cyst. No booklets nor daughter cells were found. Schmidt, J. A.—(From review by M. Dieu, in Rec. d'OphthaL, Paris, 1883.) Case 2.—Patient, adult female, presented herself for treat- ment in May of 1802. Some time before applying, patient had experienced a severe pain in the right(?) eye and right side of head. The eye became inflamed a few days previous. A few days after seeing me the inflammation increased. Exophthalmus was marked ; the cornea became completely infiltrated with pus, and perforation with protrusion of the iris quickly followed. Hemicrania became intense ; parotid painful to the touch. Tu- mor of the lachrymal gland was diagnosed, and the patient was sent to a surgeon, who introduced a trocar, directed toward the lachrymal gland through the upper lid. One ounce of a clear liquid was evacuated. The pain ceased a few hours after the
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