St. Paul daily globe., 1888-01-30
laid over from the middle of the cheek,

lalu over from the middle OF the cneek, !
bones and all.
Then the ball of the eye was cut off |
from behind, just behind the conjunc-
tlva. the sensitive outer coating, thus
leaving sort of drum over the cav
ity. This was an exceedingly clever
Idea, as by that means the interior OF
the eye was protected from the floating
dust, which would beget an intlamma-
ton that must prove fatal. This con-
junctiya is joined to the eyelids all
around, and may be compared to the
outside of jersey cap. Imagine the
outer fold of the cap to be the eyelids.
1t doubles down and then comes back
over the crown of the cap all around,
the front of the eye, TO carry out the
Illustration, being the crown OF the cap.
Bring the top edges of the tiattened cap
together, and the closed eye is repre-
Sented i'll rough way.
The optic nerve was divided as close
as could be to where 1t entered the
socket, and the entire contents of the
socket, except the outer skin of the eye,
removed. All this cleared the way for
the operation, which was yet to be per-
formed. The unhealthy growth of the
bone was seen to fill up nearly One-half
of the socket of the eye downward, out
ward and toward the nose. This was
chipped off with a hammer and chisel,
just as mechanic would trim rough
casting.
The bone savings brought out were
neither ivory hard nor spOngy, as is
usually the case with bone tumorS. Tie
growth was simply thiekening of true
bone. The part Clipped away was
about two inches i'll vertical length.
about two inches at the widest part and
about three-QuarterS of an inch deep. a
drainage tube was left in the eye socket.
| passing downward through the lower
part of the wound and under the cheek
bone. The whole wound was carefully
| washed with
a ADRESSING TO CLEANSE
i: from all germs of decay, the Separ-
ated parts were readjuSted, the cut and
| broken bones were fastened together
with chrome-catgut (Which, being an
| animal substance, can be absorbed by
| the blood, and the outer wounds
| stitched up.
The wound healed up directly with
out any Inflammation. On the third
day after the operation little clotted
blood was found in the drainage tube,
and this was washed away by a soll-
| ton of corrosive Sublimate. one part of
the sublimate to 1000 parts of water.
Not a particle of puS was seen. The
! SlllCllCS Hclc IciilONtU lIlC ClS ;'bi h"s =
| In few more days the face ha.l re
Sumed its symmetrical shape. 7 Inc
right side no longer prOtrudes, and Mrs.
Hathaway can eat without nlrhcuity.
The blows of the chiSel caused a con-
siderable dizziness, which was felt for
some time, but which has now entirely
| passed away.
| Now the question arises: What
caused the unnatural growth of bone in
the socket of the eye? Mrs. Hathaway
| is a woman of robust health, and has
borne nine children, two of whom died
| from natural causes. The question re-
manned unanswered for a long time
until few days before the operation
was performed, when she remembered
that when little girl of five years she
had been gored by cow and thrown
| several yards. The horn of the cow had
penetrated near the right eve, and after
| that for a few months Sale had been
| croSS-eyed. This had soon passed
away. and she had forgotten the acci-
dent. The cows horn must have bruised
the inner surface of the sphenoid bone,
| which makes up the flooring of the eye
| socket, and the bruise had resulted in
the unnatural thickening of the bone
until it became uncomfortable. DR.. Smith
has investigated the records of cases OF
bony tumOrs Of the orbit of the eye since
1850. and has found out of fifty-seven
cases only five cases bearing resem-
blance to that of Mrs. Hathaway, and
none that are exactly similar.
An artificial eye will be inserted as
soon as practicable. Capt. Hathaway
reports that his wife'S health is percepti
bly, improving, and that the headaches
she formerly had have not returned
and that she has fully recovered from
the operation.