Excerpt from The Chicago Medical Journal and Examiner, Vol. 40: January to June, 1880 We have here a typical case of a complete inversion of the lower lid. It is rolled in upon itself in such manner that its free edge and eyelashes are turned down toward, and buried in, the lower cul-de-sac of the conjunctiva. The patient informed me that he had been afflicted with granular conjunctivitis for twenty years, and that the right lower lid had been inverted for at least six or seven years. I mention these data, because the chronicity of the affection, in connection with the readiness with which the lid turns in again after it has been everted, and the absence of spasms of the orbicular muscle - these facts must lead us to suppose that organic changes have taken place in the tissues which compose this lower lid, of such a character that the inver sion is a permanent condition. It is, therefore, beyond the influence of medicinal application; nor would it be materially affected by our curing of the granular conjunctivitis, if such a thing were possible under the circumstances. But as long as the inverted eyelashes continue their mechanical irritation of the conjunctiva, so long any treatment of the conjunctival disease will meet with little or no success. The first step, therefore, in dealing with a case like this, is to remedy the entropion, because thereby we remove one of the greatest obstacles to a successful treatment of the granular conjunctivitis. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.