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case in which iodoform has been packed into the sclerotic cavity has there been the least suppuration, which, to my mind, establishes the position of iodoform as an antiseptic, when it can be retained in contact with moist organized tissue, in the presence of which iodine is probably liberated.
The conclusion drawn from my experience is that, though the subsequent shrinkage is more than we would wish, yet, the resulting stump is sufficiently better than that following enucleation to lead me to prefer it in all cases, except in those of suspected malignancy, and those in which the fellow eye is deeply situated in the orbit.
Dr. Prince also exhibited a book for registering cases in which the ruling is so arranged that, by glancing at the page, it is possible to see immediately the number of cases of a given disease recorded.
Dr. Jackson stated that Dr. Williams, of Boston, was the first to record a case of evisceration. Dr. Williams was thereupon asked to speak on the subject.
Dr. Williams regarded the pain ensuing after evisceration of the globe as differing from the ciliary neuralgia previously felt, in having such a character as might be due to œdema and congestion of the conjunctiva and the orbital cellular tissue. He had been in the habit of evacuating completely the contents of the scleral cavity in cases of phlegmonous inflammation of the globe, and then—as also in excision of anterior portions of the globe in cases of anterior staphyloma or hydrophthalmia—of bringing the edges of sclera together with sutures. A very good stump, sometimes with little diminution in size of the globe, is thus obtained, which partly fills the orbital cavity and affords good support to an artificial eye.
