THE SURGICAL TREATMENT OF ORBITAL COMPLICATIONS IN DISEASE OF THE NASAL ACCESSORY SINUSES.

Abstract

ous that we all want to avoid it when we can.For a good many years I have made but little pressure on the cornea in ex- pressing the lens and I never did make pressure anything like from two to five minutes, I am sure.But, it occurred to me some time ago to make just enough pressure on the cornea below to make the lens present itself in the incision and then with the cystotome transfix it from behind and lift it out without making any further pressure at all.My purpose was to avoid that occasional annoying occurrence, rupture of the hyaloid membrane and escape of vitreous.If you transfix the lens in this way there is no danger of rupture of the hyaloid membrane.andif there is danger of producing corneal opacity by pressure in stroking the cornea this is avoided as well.Now I have had such cases, some getting well just as rapidly as Dr. Wiirdemann has suggested.I believe that in dionin we have a solvent for lymph.I have seen it disappear rap- idly under the effect of dionin when it had failed to disappear before dionin was used and I believe that if we use it im- mediately after we see the opacity forming the plasma will not become organized and if it does not become organized then permanent opacification is impossible.If we can absorb it before it is converted into connective tissue we prevent opacity.Atropin should be instilled first and then after a proper interval, five or ten minutes, the dionin should be instilled.This can be done with the assurance that in recent cases corneal opacification will disappear under its influence.Mk. E. Treacher Colons, London, Eng.: These cases of