Congenitally malformed cystic eye, causing extensive protrusion of upper eyelid, and complete extrusion of conjunctival sac through the palpebral fissure / by S. Johnson Taylor and E. Treacher Collins.

  • Taylor, S. Johnson.
Date:
[1906]
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Credit: Congenitally malformed cystic eye, causing extensive protrusion of upper eyelid, and complete extrusion of conjunctival sac through the palpebral fissure / by S. Johnson Taylor and E. Treacher Collins. 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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    Reprinted from Vol. XXFI of the' Ophthalmological Society's Transactions.''] Congenitally malformed cystic eye, causing extensive protrusion of upper eyelid, and complete extrusion of coiijttnctival sac through the palpebral fissure. By S. Johnson Taylor and E. Teeacher Collins. Clinical notes by S. Johnson Taylor. The subject of this communication, J. E. W—, an illegitimate male child, set. 3 weeks when first seen, was brought to me from the country early in June, 1904, with a large cystic protrusion occupying the position of the left eye, and apparently mainly formed by a bulging forwards of the conjunctiva of the upper lid; noticed at the birth of the child, it had increased since ; it was the > only deformity about the little patient, and the right eye was quite normal. The infant was too young to stand the removal of the 1 mass, so, from an exploratory and temporising point of ■ view, I at once tapped it with a fine trochar and cannula, : and removed a considerable quantity of light straw- coloured fluid. The cyst then collapsed and some rather • solid tissue, which I imagined represented the eye, could i be felt in the orbit with the finger. Nearly a year elapsed before I saw the child again; • the cyst refilled the day after it was tapped, and had . gone on increasing in size until it projected 2| inches : from the orbital rim, and looked very much like a large, : paraphimosed penis; for some two months it had been discharging and bleeding occasionally, and was pulling the little patient down. Fig. 1 fairly well represents its 'appearance and proportions, the part projecting forwards ■ from the lids being covered with mucous membrane, which seemed to be mainly the conjunctiva of the upper lid, ~ slight constriction being caused by the margins of the lids. The child was now a year old, and the condition was