XLV. Cases of Tumors of the Eye. By T. F. ALLEN, M. D. CASE I. Epithelioma of the Cornea. On the 26th of June, 1870, Mr. A. F., a sculptor, aged sixty-one years, consulted me about his eye, and gave this history of his case: "I first noticed, in June, 1865, a slight inflammation of the right margin of the left cornea, which grew worse and became painful. A female physician failed to relieve, and I went to the eye infirmary. One of the doctors thought it a trivial affair, and applied something with a brush that burned terribly, and prescribed an ointment. As it continued to grow worse, other oculists were consulted from time to time; some called it inflammation of the cornea, some said granular lids. In 1867, the eye became so bad that it commenced to throb, and became very much inflamed and painful; the cornea appeared wrinkled and tattered, and the lid began to droop. In the winter of 1867 and 1868, a lump as large as a pea formed under the upper lid, which was removed by an occulist, but very soon a new one formed on the cornea; this was also removed. At this time the cornea was completely surrounded by a whitish thickened ring (Fig. 2), which had commenced in the form of a white crescent, at the upper margin. (Fig. 1.) Vision was very much impaired; a lamp-light seemed like a web of fire-works, six feet in diameter, with sparks shooting from it in all directions; the eye was very painful, as if pain ran through every nerve of the eye." The eye continued to grow steadily worse till the time I saw him, when I found the following condition : Right eye, normal; left eye, the upper lid droops half over the eye, without power to raise it. The cornea has a small spot in the center that is partially clear; that is, it is not thick and rough at this point, but only nebulous; the rest of the cornea is thick, rough, warty-like, and looks as if it were a mass of hypertrophied tissue. This thickened mass surrounds the whole cornea, and is quite vascular; the pupil cannot be distinctly seen; vision only suffices to count |