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CASE 5.-J. R-, aged forty-six. Injury of the left eye.Two years ago he had to give up his work on account of theirritation set up in the right eye.CASE 6.-C. P-, aged twenty-four. Ophthalmitis, with

severe pain, enlarged globe, and loss of vision.CASE 7.-M. J——, aged fifty-three. Sudden loss of vision

in the right eye three years ago; lately it has become painful,with dimness and pain in the left eye.CASE 8.-J. D-, aged thirty. The right eye painful;

vision dull The left eye had been inflamed six years ago; theinflammation continued for three months, and ended with

partial loss of vision. Six weeks ago inflammation returned,with severe pain continuing.CASE 9.-As Case 1.The preparations made on the day of operation, with the

history of the cases and microscopic reports of the globes ex-cised, and sections, are preserved at the hospital, and are opento inspection.

Mi,no2- operations performed in the out-patients’ consulting-room.-Twenty cases of removal of small tumours in the eye-lids or their neighbourhood. Slitting of the lachrymal duct infifty-one cases, either for the treatment of diseases of thelachrymal puncta or canals, or for facilitating the approach tothe lachrymal sac. Twenty-nine cases of probing the nasal canalfor the treatment of diseases of the lachrymal sac or nasalcanal.Opening of abscesses in twelve cases. Removal of foreign

bodies from the surface of the eye, fifteen cases. Three casesof purulent ophthalmia treated by scarification of the chemoticconjunctiva. _

Total of major operations, 77; minor operations, 134.

CLINICAL RECORDS.

ANEURISM BY ANASTOMOSIS SPONTANEOUSLY CURED.

A TUMOUR the size of an orange was present at the innerside of the left shoulder of a boy five years old, at Guy’s Hos-pital, but situated anteriorly upon the surface of the pectoralmuscle. It was firm in some parts, soft in others, and had astringy feel. There were some little patches of eruption uponthe skin over it, and there was no doubt it was an aneurismby anastomosis, undergoing the process of spontaneous cnre.It was congenital, very small at first, gradually enlarging, withpulsation, then becoming solid, the pulsation ceasing, andfinally complete isolation. It was carefully excised by Mr.Cooper Foster, under chloroform, and was not associated withany bleeding at all to speak of, and lay upon the border andsurface of the great pectoral muscle, whose fibres were distinctlyseen. The tumour was composed of several cysts, as are foundsometimes in these cured aneurisms. At page 116 of thepresent volume of THE LANCET, we described a congenital cystremoved from the axilla of an infant, at St. George’s Hospital,by Mr. Prescott Hewett. Both cases are precisely similar intheir nature and origin, and there can be no doubt that theorigin of these cysts is correctly explained by Mr. Coote, whosays that various portions of these pulsating tumours becomeblocked up, get isolated, assume the form of minute sacs orcysts, which enlarge, and form -either one large or a series ofsmall cysts, the original affection becoming cured.

THE VALUE OF SULPHATE OF COPPER IN GLOSSAL CANCER.

WE have watched very particularly the treatment at theCancer Hospital of cancerous ulceration of the tongue, distin-guished by its deep, excavated character, with sometimesfissures running from its sides and irregular puckerings, andvery generally preceded by nodular enlargement, with diffi-culty in the use of the organ. Who amongst us has not feltthe sensitiveness of a little pimple on the tongue, arising froma hearty supper the night before, or from some slight indi-gestion ? These small pimples often feel very sore and tender.If they are contrasted with the pain and embarrassment in theuse of the tongue affected with malignant ulceration, an ideawill be gained of the really terrible nature of the latter.Patients with glossal cancer seem to resign themselves withgreat fortitude to their sufferings, and it is a gratificationindeed to the humane surgeon to find his measures afford relief.Now, of the various substances employed by the surgeons atthe Cancer Hospital as a local agent, none appear to have somuch control over the ulcers as powdered sulphate of copper,This substance is very efficacious in cancer of the tongue and

cheeks. It is applied by means of a camel-hair pencil, gene-rally twice a day, and allowed to remain four or five minutes;the mouth is then freely washed out with tepid water. It

produces some pain, but this is willingly borne when the re-lief is found to be so great; and an excellent wash of borax,half an ounce to a pint of water, used frequently during theday, keeps the ulcer and the tongue clean and fresh-looking.Under the use of the copper, we have seen the ulcers slowlyheal up and cicatrize, and a return to comparative comfort, ascontrasted with the patient’s previous condition.On the 25th of August, a man from Farnewood, Mathew

T-, aged sixty-two, presented himself for the first timewith a deeply excavated, cancerous ulcer of the right side ofhis tongue, extending towards its base. It had been existingfor two years, and fears now were entertained that the diseasewould extend to the roots, and destroy the organ and thepatient’s life. The treatment adopted was that we have de-scribed, with the addition of a soda powder twice a day for aweek or ten davs. We have no doubt that this plan willprove of service here, as it has already done in so many other?.Powdered sulphate of copper is an agent of great value,

which cannot be underrated in these painfully distressing cases.We may remark, as a rule at this hospital, anodynes are

avoided as much as possible, and pain is sure to become lessunder the sustaining treatment so commonly the practice here.

SCOTT’S OINTMENT IN INDURATED TESTICLE.

WE have seen Mr. Coulson, at St. Mary’s Hospital, treatindurated testicle by applying Scott’s ointment on lint nextthe scrotum, then a piece of flannel and oil silk, with a goodsuspensory handage. The patient is thus enabled to go about,and a cure is effected within a short time. Scott’s ointment isthe ceratum hydrargyri compositum of the London Pharma-copceia, and consists of the stronger ointment of mercury, soapcerate, and camphor. Mr. Coulson is at this moment treatinga case of chronic induration of the breast of a woman, frominflammation, with the same ointment, and pressure, as recom-mended by Scott, in his work in 1828.We noticed a case of adenitis of the right groin in a boy,

which was brought on by a strain, and which, after attainingthe size of a fist, suppurated, leaving an ulcer, with the glandprojecting from its bottom. The strain occurred seven weeksago. The enlarged gland was freely covered with red pre-cipitate on five different occasions, with the effect of alreadynearly destroying the whole of it, without any bad effects tothe patient. ____

RESECTION OF THE ELBOW-JOINT.

ON Saturday, Aug. 29th, this operation was again performedat King’s College Hospital, by Mr. Fergusson, on the left elbowof a man who had been discharged from the navy as incurable.He had been a sufferer from disease of the joint for the lastseven years, with various vicissitudes during that time; nowand then it was supposed to be getting well, but during thelast four months he had a more severe attack of inflammationand suffering. He was sent to this hospital, and Mr. Fergussonmade up his mind to treat the case by resection, as the diseasewas of an incurable form-that form of ulceration of the Sur-faces so uncertain in healing, and so long in getting well, as toseem altogether incurable. The poor man himself was mostanxious to submit to anything for relief. The usual operationfor resection was therefore performed, and all the ends of thediseased bones removed, with a quantity of pulpy substancefrom around the joint. The ulna was denuded of cartilage,and the synovial membrane was in a gelatinous pulpy conditionthroughout the articulation. He mentioned a feature in thediagnosis in these cases, which he said was not mentioned byauthors, and that is, the peculiar elasticity there is in the jointin these bad cases, depending upon the thickened and gelatinoussynovial membrane-an infallible criterion of the kind ofdisease of the elbow-joint which will not yield to treatment.This peculiar condition replaces the solid firmness of the jointpresent under other circumstances. Another feature presentin these cases is the rotatory movement in the opposing anglesof the joint, as well as in the ordinary motions of the joint.This last peculiarity we have referred to former occasions.

This patient has been going on extremely well since theoperation; and the other cases in this hospital mentioned on aprevious occasion are doing as well as could be desired.

CANCEROUS ULCER OF THE CHEEK.

A HEALTHY-LOOKING farmer, Samuel P--, aged thirty-four