90 At the date of admission (March 25th, 1*62) her appearance would be difficult to describe. A large tumour occupied the whole of the orbit, and protruded in the form of a turnip. The skiu of the eyelids was loose and hypertrophied, covering the greater part of the upper and the lower surfaces of the tumour respectively. There was well marked facial paralysis. The operation was performed thus:-Two incisions were made : the first, a vertical one, on a line drawn from the middle of the

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... tal ridge, and terminating at the lower border of the tarsal cartilage; the other, a horizontal one, an inch in length, from the external canthus outwards. The flaps were then carefully dissected, and the anterior part of the tumour was completely exposed ; the muscles, which were quite atrophied, were severed; and a little more manipulation sufficed to complete the operation. The tu:nour, when removed, presented the following characters :-Antero-posterior diameter, three inches and a half; large circumference, eight inches; weight, five ounces. The eye itself was embedded in the mass of disease, like a fossil--only about a third of it being visible, with contour preserved, and almost natural in appearance. The orbital cavity was much enlarged, and the walls were quite attenuated. The after-treatment was conducted on general principles. A piece of sponge was introduced into the cavity, and a bandage, for support, was applied round the head. For several consecutive days cold-water applications were unremittingly used. On the third day after the operation erysipelas suddenly attacked the opposite side of the face, but as quickly disappeared without any peculiar treatment and without interfering with the progress of the case, which was going on very satisfactorily. At the present time, after a month's treatment, she is comparatively well. The wounds have healed ; the redundant skin of the eyelids has contracted; the facial paralysis has disappeared ; and nothing remains of the deformity except the want of an eye. An artificial one cannot be substituted, at present at least, for obvious reasons.