Pneumonia; Pleurisy; Pneumo-Empyema. Permanent Opening for Four Months; Recovery

Dec. 9th.-Swelling of lids less.Ecchymosis nearly or quite gone.Middle third of edge of right upper lid excoriated along the line of emergence of the lashes.Dec. 13tli.-Insufficientclosure of lids of each eye, which, however, existed before the operation, according to the patient.Dec. 23d.-Middlethird of edge of right upper lid is without lashes.Patient thinks operation has helped him.1874, Peb.11.-Effect of operations on tho position of tho lashes is rather satisfactory, but conjunctival disease remains.Case VI., 1874, Jan. 5.-A young man, aged 15 years, born in Eng- land, was admitted to the Infirmary with trichiasis, entropion and cor- neal opacity of the right eyo, and nystagmus of both eyes.Jan. 6th.-Astrip of tarsal substance was removed from the tarsus of the tho upper lid of the right eye ; three tarsal sutures, and one to connect the flaps of skin, were applied.Jan. 9th.-Dischargedfrom the Infirmary, improved.Peb.21th.-Righteye much improved as regards entropion, but nystagmus remains.Patient thinks some improvement, also, in vision of right.Case VIL, 1874, Peb. 27.-A man, aged 31 years, born in Ireland, was admitted to the Infirmary.The left eye was lost from smallpox many years ago.The eyeball was atrophied, but without pain, spontaneous or on pressure.In the right eye, there was granular ophthalmia, with a slight incurving of the edge of the lid, and alteration of the corneal surface.The lashes had been pulled out at various times since last April.Now several small cilia turned towards the cornea.Peb. 27th.A strip removed from the tarsus of the right upper lid ; a thick, large strip from the temporal half, but not as large a piece from the nasal portion.This was perhaps due to the nasal end of the cutaneous incision being a little too far from the edge of the lid.At this end of the lid, the conjunctiva was accidentally incised.March 1st.-Suturesremoved.March 14th.-Edge of lid well everted.Cornea improving.March 15th.-Patientthinks he sees better than before the operation.. Conjunctival disease remains, and may require further treatment.