e of a man who, after arising in the morning, blew
his nose violently, and to his horror his left eye extruded from the
orbit. With the assistance of his wife it was immediately replaced and
a bandage placed over it. When Tyler saw him the upper lid was slightly
swollen and discolored, but there was no hemorrhage.

Hutchinson describes extrusion of the eyeball from the orbit caused by
a thrust with a stick. There was paraphymotic strangulation of the
globe, entirely preventing replacement and necessitating excision.
Reyssie speaks of a patient who, during a fire, was struck in the right
eye by a stream of water from a hose, violently thrusting the eye
backward. Contracting under the double influence of shock and cold, the
surrounding tissues forced the eyeball from the orbit, and an hour
later Reyssie saw the patient with the eye hanging by the optic nerve
and muscles. Its reduction was easy, and after some minor treatment
vision was perfectly restored in the injured organ. Thirty months after
the accident the patient had perfect vision, and the eye had never in
the slightest way discommoded him.

Bodkin mentions the case of a woman of sixty who fell on the key in a
door and completely avulsed her eye. In von Graefe's Archiv there is a
record of a man of seventy-five who suffered complete avulsion of the
eye by a cart-wheel passing over his head. Verhaeghe records complete
avulsion of the eye caused by a man falling against the ring of a
sharp-worn key. Hamill describes the case of a young girl whose
conjunctiva was pierced by one of the rests of an ordinary gas-bracket.
Being hooked at one of its extremities the iron became entangled in
either the inferior oblique or external rectus muscles, and completely
avulsed the eyeball upon the cheek. The real damage could not be
estimated, as the patient never returned after the muscle was clipped
off close to its conjunctival insertion. Calhoun mentions an instance
of a little Esquimaux dog whose head was seized between the jaws of a
large Newfoundland with such force as to press the left eyeball from
the socket. The ball rested on the cheek, held by the taut optic nerve;
the cornea was opaque. The ball was carefully and gently replaced, and
sight soon returned to the eye.

In former days there was an old-fashioned manner of fighting called
"gouging." In this brutal contest the combatant was successful who
could, with his thumb, press his opponent's eyeball out. Strange to