Five splinters were removed and a portion of the
damaged brain-substance, and a small artery was tied with catgut.
The debris of the eyeball was enucleated and a drain was placed
in the frontal wound, coming out through the orbit. The patient
soon regained consciousness and experienced no bad symptoms
afterward. The drains were gradually withdrawn, the process of
healing advanced rapidly, and recovery soon ensued.
Annandale mentions an instance in which a knitting-needle
penetrated the brain through the orbit. Hewett speaks of
perforation of the roof of the orbit and injury to the brain by a
lead-pencil.
Gunshot Injuries of the Orbit.--Barkan recites the case in which
a leaden ball 32/100 inch in diameter was thrown from a sling
into the left orbital cavity, penetrating between the eyeball and
osseous wall of the orbit without rupturing the tunics of the eye
or breaking the bony wall of the cavity. It remained lodged two
weeks without causing any pain or symptoms, and subsequently
worked itself forward, contained in a perfect conjunctival sac,
in which it was freely movable.
Buchanan recites the case of a private in the army who was shot
at a distance of three feet away, the ball entering the inner
canthus of the right eye and lodging under the skin of the
opposite side.
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