REMOVAL OF EYES IN THE PRESENCE OF ORBITAL CELLULITIS

It was freed by a couple of snips witlh the scissors and removed witlh the greatest ease. The track of the bullet was easily made out, as it had grazed and torn off a little of the cartilage covering the upper and inner half of the patella, wlhence it had ricochetted downwards, grazing and scooping out anotlher bit of cartilage covering the internal condyle. These detached pieces of cartilage were seen to be adherent to the inner sturface of the capsule of thle joint and were no longer loose bodies-a process which lhas been noted before. The synovial membrane, the muscle, the periosteum and the tendon were sutured with iodized catgut. No wire or sutures were put through the patella. The skin incision was closed by metal clips. No drain was inserted and no splint used, the knee being laid over a pillow. The operation was completed in twenty minutes. The wound healed per primam. The patient was out of bed in ten days, when photographs were taken and movements .of the joint allowed.