A CASE OF CHANCRE OF THE EYELID.

By Asst.-Surgn. Monomohun Gupta, l.m.s.,

Ilouse-Surgeon, Eye Infirmary, Medical College Hospital. Adhar Chandra Goswami, a Hindu male, aged

about 32 years, came to the E}7e Infirmary, Medical College Hospital, on the 3rd January 1897, complaining of pain and redness in the right eye.

Previous history.?The history which could be gathered from him was interesting. About 10

days ago, a member of his family had phimosis with chancres; he used to dress him daily. One

day, while he was accompanying him to the hospital, he had to dress his friend's sores in the way; while engaged in dressing inside the car- riage, some dust went inside his eye and he

instantly rubbed his e}7e with his right hand. About three days after this he noticed some pain and redness about the outer corner and lower lid of the right eye.

Present condition.?On the outerside of the lower conjunctival sac, and close to the margin of the lower lid of the right eye, was an ulcer about the size of a split pea. The margin of the ulcer was clean cut with a good deal of indura- tion about its base. The floor was excavated and was covered with some scanty greyish secretion. The whole of the lower lid was swollen and indurated. Both the palpebral and ocular por- tion of the conjunctiva around the ulcer was

injected. The lymphatic glands in front of the right ear were swollen. The patient complained of dull aching pain in the eye. Discharge was very scanty.

Treatment.?Lotio liydrarg perchlor (1 to

4000) was ordered to be dropped into the eye every four hours for the purpose of washing the ulcer, and iodoform vaseline (51 to 51) for appli- cation inside the e37e. On the outer surface of the indurated lid ungt. liydrarg oleat (si to ^i) was rubbed night and morning.

In about 15 da}7s the ulcer got completely cured, but some induration was left behind, for

which ungt. liydrarg oleat was continued, and internally mist, liydrarg iodid t. d. s. was

prescribed. The man got all right in a month's time.

Remarks.?In this case the mode of infection could be clearly traced?obviously, the man

rubbed his eye with his dirty fingers and soon

after the ulcer appeared. The ulcer yielded readily to antisyphilitic treatment.