After being for upward
of two months under the treatment of native practitioners, he
came to me on December 4, 1891. I observed a cicatrix on the
right side of his nose, and above this a sinus, still unhealed,
the orifice of which involved the inner canthus of the right eye,
and extended downward and inward for about a centimeter. The
sight of the right eye was entirely lost, and the anterior
surface of the globe was so uniformly red that the cornea could
hardly be distinguished from the surrounding conjunctiva. There
was no perceptible enlargement or protrusion of the eyeball, and
it did not appear to have sustained any mechanical injury or loss
of tissue. The ophthalmia and keratitis were possibly caused by
the irritating substances applied to the wound by the Chinese
doctors. The sinus on the side of the nose gave exit to a
continuous discharge of slightly putrid pus, and the patient
complained of continuous headache and occasional dizziness, which
interfered with his work. The pain was referred to the right
frontal and temporal regions, and the skin on this part of the
head had a slight blush, but there was no superficial tenderness.
The patient had been told by his native doctors, and he believed
it himself, that there was no foreign body in the wound; but on
probing it I easily recognized the lower edge of a hard metallic
substance at a depth of about one inch posteriorly from the
orifice of the sinus.
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