brow, and Eyelid. BY R. J. LEVIS, M.D., Lecturer on Ophthalmic Surgery in the Jefferson Medical College, Surgeon to the Wills Ophthalmic Hospital, and late Surgeon to the Philadelphia Hospital, NICHOLAS CONRAD, æt. 30, has a tumor of simple hyper- trophic character, involving the integument of the left side of the forehead, eyebrow, and eyelid. The surface is irregularly lobed, but the skin maintains its normal characteristics of color, sensibility, and elasticity, and blends gradually with other por- tions of the cranial integument. The whole enlargement differs from the surrounding integument only in its hypertrophied and lobed character. The development is greatest in the eyebrow and eyelid, the brow overhanging the cheek, and the eyelid resting on the ala of the nose. The cranium in the left frontal region is depressed beneath the mass, the apparent excavation being due to the mechanical effect of pressure. The tumor appears to be congenital, as it was noticed at his birth as a small protuberance on the left temple, which has ever continued to increase. At the age of fourteen years, the left , eye, in which vision had been normal, began to be obscured by the growth of the brow and lid. On elevating the left eyelid, the eye is found to be atrophied and cataractous, without perception of light. The atrophy is probably due simply to long-continued pressure and loss of the function of vision from obscuration. He suffers from slight photophobia in the other eye, but its vision is otherwise un- impaired. The general health of the patient is good, but his intellect is