Transactions of the American Ophthalmological Society, Eighth Annual Meeting, Newport, July, 1871.
- American Ophthalmological Society
- Date:
- 1871
Licence: Public Domain Mark
Credit: Transactions of the American Ophthalmological Society, Eighth Annual Meeting, Newport, July, 1871. 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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![CASE OF EEADJUSTMEXT OF THE LEYATOE MUSCLE OF THE UPPEE LID. Bj John Green, M. D., St. Louis, Mo. Eeadjustment of the levator of the upper lid has been but rarely performed, ami has still more rarely been followed by restoration of the ])roper function of the muscle. In fact, the reported cases of this operation have been, for the most part, in paralytic ptosis, where we should, a priori^ expect least from it. In the following case the ptosis was traumatic, and the indications for operation were substantially the same as in the operation fur readjustment of the internal rectus: AVilliams, five years of age, son of Dr. A. G. AVil- lianis, of Dongola, Illinois, was gored over the left eye by a cow, about two years before I saw him. Tlie whole upper lid was torn from its attachments, wdth the exception of a narrow bridge at the outer end. The wound was dressed by the father, who reunited the severed integument quite accurately by su- tures. Complete and accurate union of the skin w^as obtained, but with considerable irregularity of the conjunctival surface of the lid, and with complete ptosis. The eye was wholly un- injured. I first saw the boy, in consultation with the father, March 15, ISTl. The left up^Der lid appeared considerably thicker tlian the right, partially from an overlapping of the tarsal car- tilao;e, wdiich seemed to have been torn across about the middle of its length, and in part from a somewhat excessive quantity of subcutaneous adipose tissue just above the upper border of the cartilage. There was no sign of any action of the levator muscle in any of the movements of the eyes, but the lid hung motionless, except as it was lifted slightly by the contraction](https://iiif.wellcomecollection.org/image/b22449887_0138.jp2/full/800%2C/0/default.jpg)
