1648 OBSTETRICAL SOCIETY OF LONDON.R. A (2), L. (3), and the fields of both eyes were con-centrically contracted to one-quarter of the normal. Theeyes were quiet and normal looking and the patient wasusing a weak eserine drop daily.Remarks by Mr. ROPER.-The above is a brief abstract of

my notes of this interesting case, which is worthy of beingput on record. Two points are brought into strong relief-the inveteracy of glaucoma and the remedial value of iridec-tomy in this condition. The occurrence of glaucoma aftercataract extraction must be rare, as I can only recall oneother such case in an experience of considerably over 100cases.

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Medical Societies.OBSTETRICAL SOCIETY OF LONDON.

Puerperal Eclampsia.--Repeated Tubal Preynancy.-Thyroid-like Structures in Ovarian Cysts. -Deformed Fætus.-Ruptured Interstitial Pregnacy.-Primary Careinomaof both Fallopian Tubes.A MEETING of this society was held on June 7th, Dr. W. R.

DAKIN, the President, being in the chair.Captain J. C. HOLDICR LEICESTER, I.M.S., of Calcutta,

reported a case of Puerperal Eclampsia with death on thesixteenth day after delivery from general septic peritonitis,due to rupture of an abscess in the spleen.

Mr. ALBAN DORAN reported a case of Repeated TubalPregnancy which had twice been under his observation inhospital with clinical evidence of tubal gestation, first on theright side and after an interval of 12 months on the left.Owing to increasing swelling with pain and haemorrhage theabdomen was opened and clots together with both tubes andthe right ovary were removed. The patient was the sub-

ject of pulmonary tuberculosis to which she ultimatelysuccumbed 13 months after the operation. Mr. Doran raisedthe question whether, in view of the possibility of anotherabnormal pregnancy taking place, it was justifiable in

operating for tubal gestation to remove the opposite tubeeven when healthy. He quoted three cases of his ownin which a normal uterine pregnancy had followed removalof a pregnant tube.-Dr. R. BOXALL mentioned a case

in which a normal pregnancy and delivery occurred abouta year subsequently to removal of a ruptured tubal gesta-tion.-Dr. HERBERT R. SPENCER said that he had operatedon three cases of bilateral tubal pregnancy and in two othershad observed intra-uterine pregnancy after tubal gesta-tion.-Mrs. M. A. D. SCHARLIEB mentioned a case of

ruptured ectopic gestation operated on in July last, thepatient being now five months pregnant.-Lieutenant-Colonel A. J. STURMER, I.M.S., referred to the case which hehad recently brought before the society in which, at thetime of operation, the opposite tube was found to be red andswollen but was not removed. A year later it was discoveredthat ectopic pregnancy had again occurred, He conse-

quently thought that it would have been safer to haveremoved both tubes at the first operation.-Mr. DORAN, inreply, said that every conceivable variation had been observedin cases of tubal pregnancy-repeated in the opposite side,repeated in the same side, simultaneous in the right andleft tubes, simultaneous tubal and uterine pregnancy and,lastly, gestation in a tubal stump. Still, the evidence ofthose who had joined in the discussion supported his opinionthat when pregnancy occurred after the removal of a tubal

gestation sac it was, as a rule, normal ; hence, when the sacwas removed it was not justifiable to amputate the oppositetube.Mr. R. HAMILTON BELL reported two instances of

Thyroid-like Structures in Ovarian Cysts. In both cases the

cysts were multilocular and had been removed by operation.They showed in each instance appearances resembling thoseof the thyroid gland. An explanation was doubtless to befound among the following: (1) metastatic growth from aprimary thyroidal carcinoma ; (2) secondary growth from anormal thyroid gland or from a simple goitre ; (3) growthof a teratomatous nature ; (4) endothelioma ; and (5) colloiddegeneration of an ordinary cystic adenoma of the ovary.He was disposed to regard the last mentioned as the mostprobable explanation.-Dr. H. WILLIAMSON agreed that inmany cases the resemblance to thyroid tissue was broughtabout as the result of pressure exerted by colloid contents

in the smaller loouli upon the columnar epithelium of anadenoma of the ovary. But, at the same time, he thoughtit possible that in some cases an explanation was to befound in a teratomatous origin.Mr. CHARLES SINGER exhibited and described a case of

Extreme Ectopia Vesicao and Congenital Absence of the

Colon, combined with other deformities, in a full-time fcetuswhich had lived for 14 days.

Dr. H. RUSSELL ANDREWS recorded a case of Ruptured In-terstitial Pregnancy in the Left Cornu of the Uterus which hadundergone early rupture. The period was only six days over-due and the gestation cavity would but just admit the tipof one’s thumb. The uterus was removed by supravaginalamputation, both ovaries being left. But he raised the

question of the possibility of preserving the uterus in caseslike this where rupture took place early, merely excising theaffected cornu and suturing together the resulting rawsurfaces.

Dr. C. J. CULLINGWORTH showed and described specimensof Primary Carcinoma of both Fallopian Tubes which he hadremoved by operation from a woman 41 years of age. Fortwo years previously she had had almost continuous pelvicdiscomfort, with frequency of micturition and a constantand increasing watery discharge sometimes blood-stained andfrequently offensive. The diagnosis was obscure. A month’srest in bed having been followed by no apparent benefitoperation was decided upon. When the preliminary enemawas given about a pint of bright blood was passed by thebowel and under anaesthesia a small fistulous opening wasfelt in the rectum four inches from the anus. On openingthe abdomen both tubes were found to be affected withmalignant disease, the left being much the larger but theuterus was of normal size and no extension of the disease toother parts in the abdomen could be felt. There was noascites. It was thought that the fistulous opening into thebowel would supply a sufficient drainage. Subsequentlysome difficulty was experienced in getting the bowels to act.The patient died suddenly 84 hours after the operation.-Mr. DORAN thought it probable that the cancer had de-veloped, as is often the case, in an old hydrosalpinx.

OPHTHALMOLOGICAL SOCIETY.

Cribriform Choroido-retinitis. - The Question of VisualEfficiency.-Subsequent note on a case of Orbital Tumour.- Against the Use of Strong A_pplications in the Treatmentof Ophthalmia.-Subsidence of Optic Neuritis after Be-i)io?-a,l of Cerebral Tumours.-Ring Sarcoma of the UvealTract.-Exhibition of Cases and Specimens.A MEETING of this society was held on June 8th, Mr. JûHK

TWEEDY, the President, being in the chair.Mr. R. W. DOYNE and Mr. SYDNEY STEPHENSON contributed

a note on Cribriform Choroido-retinitis, a Rare Form ofFundus Disease. They described three cases in adult

patients of a peculiar clinical type of choroido-retinitis,characterised by large membranous sheets of white exuda-tion lying in the fundus beneath the retinal vessels, andshowing few or many round or oval holes, through whichthe colour and markings of the underlying choroid couldbe recognised. In some instances the holes might be filledwith pigment. There were grounds for thinking that theaffection had resulted from acquired syphilis. They rejectedthe view that the condition of the fundus was the outcomeof the metamorphosis of copious hemorrhages.Mr. G. A. BERRY (Edinburgh) contributed a paper, which

was read by the Secretary, on the Question of VisualEfficiency, in which he suggested a graduated scale repre-senting partial loss of sight for guidance in allottingcompensation and awards by insurance societies.Mr. F. RICHARDSON CROSS (Bristol) communicated a Sub-

sequent Note on a Case of Intra-orbital Tumour previouslyexhibited before the society, in which he had performedKrönlein’s operation, removing a multilocular cyst withrecovery of the patient.Mr. W. E. CANT (Jerusalem) read a paper condemning the

Use of Strong Applications in the Treatment of Ophthalmia.In the East there were a great variety of regular andirregular practitioners dealing with the prevalent cases ofophthalmia, some of whom used solutions of nitrate of silver,80 and 60 grains to the ounce, which did considerable

damage to the corner and conjunotiva. He thought ,III