say, little serious or permanently bad results followed such inhuman
treatment of the eye. Von Langenbeck of Berlin mentions an instance of
fracture of the superior maxilla, in which the eyeball was so much
displaced as to lodge in the antrum of Highmore. Von Becker of
Heidelberg reports the history of a case in which a blow from the horn
of a cow dislocated the eye so far back in the orbit as to present the
appearance of enucleation. The conjunctiva hid the organ from view, but
when it was pulled aside the eyeball was exposed, and in its remote
position still possessed the power of vision. In some cases in which
exophthalmos has been seemingly spontaneous, extreme laxity of the lids
may serve as an explanation. There is an instance on record in which a
Polish dew appeared in a Continental hospital, saying that while
turning in bed, without any apparent cause, his eyeball was completely
extruded. There have been people who prided themselves on their ability
to produce partial exophthalmos.

Rupture of the Eyeball.--Jessop mentions the case of a child of eight
who suffered a blow on the eye from a fall against a bedpost, followed
by compound rupture of the organ. The wound in the sclerotic was three
or four lines in length, and the rent in the conjunctiva was so large
that it required three sutures. The chief interest in this case was the
rapid and complete recovery of vision.

Adler reports a case of fracture of the superior maxillary in which the
dislocated bone-fragment of the lower orbital border, through pressure
on the inferior maxillary and counter pressure on the skull, caused
rupture of the conjunctiva of the left eye.

Serious Sequelae of Orbital Injuries.--In some instances injuries
primarily to the orbit either by extension or implication of the
cerebral contents provoke the most serious issues. Pointed instruments
thrust into the orbital cavity may by this route reach the brain. There
is a record of death caused by a wound of a cavernous sinus through the
orbit by the stem of a tobacco-pipe. Bower saw a woman at the
Gloucester Infirmary who had been stabbed in the eye by the end of an
umbrella. There was profuse hemorrhage from the nostrils and left eye,
but no signs indicative of its origin. Death shortly ensued, and at the
necropsy a fracture through the roof of the orbit was revealed, the
umbrella point having completely severed the optic nerve and divided
the ophthalmic artery. The internal carotid a