A Fibroma of the Orbital Fossa

Biiagan, Hindu male, aged 35 years, was admitted to the Gaya Pilgrim Hospital with a tumour in the left orbital fossa. It had begun three years before, gradually increasing in size, and pushing the eyeball forwards. There was no history of syphilis or family history of importance. The eyeball, which was almost embedded in the growth, protruded from the orbital fossa forwards and outwards; vision was not impaired, but the palpebral conjunctiva was congested and hypertrophied, and the lower lid wras everted. His general health was satisfactory. The eye was operated on by Major D. Couttsr m .15., i.M.S., Civil Surgeon, Gaya. An incision having been made along the conjunctiva of the lower eyelid, careful dissection shewed adhesions to the inferior rectus, the orbicularis, the inferior oblique and other adjacent structures. The capsule of Tenon was intact and also the periosteum of the orbit. Whilst delivering the tumour a further and more dangerous adhesion to the sheath of the optic