My patient, Mr. Shirley, has kindly consented to appear before the Society this evening. He belongs to that large class of persons who suffer from burns caused by caustics, hot metals, etc., and has what may be called complete symblepharon of the left lower lid. His case is of interest, I think, to those who do work in plastic surgery, and more particularly in surgery involving tissue that has been burned, and has consequently become cicatricial.
The tissue af the eye-lid is such that very slight injuries will cause disturbance of its functions, and deformities. This is particularly true of injuries due to burns. Mr. Shirley's left eye was severely burned with hot iron four years ago. He was treated by a layman for two weeks, and then consulted an oculist. The lid had by this time grown fast to the eye-ball to a considerable extent. Some operation was performed,