Exenteration of the orbit is an operation so seldom necessary that its scarcity warrants the report and the placing on record of the following case :
F. W., a man, aged 66, first came under observation in January, 1924, with the history that about nine years previously a "lump" had appeared at the inner canthus of the left upper eyelid. He was under observation and received treatment at intervals during this time, suffering much at the hands of many.
Examination showed that the right eye was normal, with a visual acuity of 20/40 and ability to read Jaeger test-type no. 1, with presbyopia corrected.
The left eyeball stood isolated in the orbit with an area of complete destruction extending over the upper lid and the underlying tissue, up on to the nose, including the eyebrow, and to the limits of the bony orbit on the temporal side ; the skin
HECKEL EB. COMPLETE EXENTERATION OF THE ORBIT BY MEANS OF ELECTROCAUTERY FOR NEGLECTED EPITHELIOMA OF THE EYELIDS: REPORT OF A CASE. Arch Ophthalmol. 1929;2(5):549–550. doi:10.1001/archopht.1929.00810020570005
Artificial Intelligence Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.