(78) _Entry_ (Mauser), from cranial cavity, just within the
centre of the roof of the right orbit; _exit_, from the orbit
by a notch in the lower orbital margin internal to the
infra-orbital foramen; track thence beneath the soft parts of
the face to emerge from the margin of the upper lip near the
left angle of the mouth. Collapse of globe, proptosis,
subconjunctival haemorrhage, oedema and ecchymosis of lids.

Shrunken ball removed on twenty-fourth day (Major Burton,
R.A.M.C.).

(79) _Entry_ (Mauser), at the posterior border of the left
mastoid process, 3/4 inch above the tip; _exit_, in the inner
third of the left upper eyelid. Globe excised at end of seven
days. Facial paralysis and deafness.

(80) _Entry_ (Mauser), from cranial cavity through centre of
roof of orbit; _exit_, through maxillary antrum. Total
blindness. Movements of ball good, no loss of tension.
Proptosis, subconjunctival haemorrhage, ecchymosis of eyelids.
No improvement in sight followed. One month later the globe
suppurated and was removed. The bullet had divided the optic
nerve and contused the ball.

_Prognosis and treatment of wounds of the orbit._--Except in those cases
in which return of vision was rapid, the prognosis was consistently bad
in the injuries to the globe. When the globe was ruptured it, as a rule,
rapidly shrank. The case (80) quoted above is the only one in which I
saw secondary suppuration.

With regard to active treatment, the majority of the cases were
complicated by fracture of the roof of the orbit, and in many instances
concurrent brain injury was present. In all of these, as a general rule,
it was advisable to await the closure of the wound in the orbital roof
prior to removal of the injured eye, if that was considered necessary.
The only exception to this rule was offered by instances in which the
bullet passed from the orbit into the cranium; in these primary removal
of fragments projecting into the frontal lobe was preferable. As already
indicated, such wounds were comparatively rare except in the case of
bullets coursing transversely or obliquely.

The wounds were, as a rule, followed by considerable matting of the
orbital structures.

_Wounds of the nose._--I will pass by the external parts, with the
remark that perforating wounds of the cartilages were remarkable for
their sharp limitation and simple natur