EMPHYSEMA OF THE EYELIDS.

This has been already referred to as occurring in malignant œdema, black quarter and other gas producing infections. It may also come from lacerations made in puncturing the lachrymal sac, and from fracture of the margin of the orbit—the air entering the connective tissue in this case from the cavities of the nasal sinuses. The lid feels puffy and crackles when pressed and apart from a general infection it requires only soothing and antiseptic dressings.