(79) _Entry_ (Mauser), at the posterior border of the left mastoid process, 3/4 inch above the tip; _exit_, in the inner third of the left upper eyelid. Globe excised at end of seven days. Facial paralysis and deafness. (80) _Entry_ (Mauser), from cranial cavity through centre of roof of orbit; _exit_, through maxillary antrum. Total blindness. Movements of ball good, no loss of tension. Proptosis, subconjunctival haemorrhage, ecchymosis of eyelids. No improvement in sight followed. One month later the globe suppurated and was removed. The bullet had divided the optic nerve and contused the ball. _Prognosis and treatment of wounds of the orbit._--Except in those cases in which return of vision was rapid, the prognosis was consistently bad in the injuries to the globe. When the globe was ruptured it, as a rule, rapidly shrank. The case (80) quoted above is the only one in which I saw secondary suppuration. With regard to active treatment, the majority of the cases were complicated by fracture of the roof of the orbit, and in many instances concurrent brain injury was present. In all of these, as a general rule, it was advisable to await the closure of the wound in the orbital roof prior to removal of the injured eye, if that was considered necessary. The only exception to this rule was offered by instances in which the bullet passed from the orbit into the cranium; in these primary removal of fragments projecting into the frontal lobe was preferable. As already indicated, such wounds were comparatively rare except in the case of bullets coursing transversely or obliquely. The wounds were, as a rule, followed by considerable matting of the orbital structures. _Wounds of the nose._--I will pass by the external parts, with the remark that perforating wounds of the cartilages were remarkable for their sharp limitation and simple nature. I remember one case shown to me in the Irish Hospital in Bloemfontein by Sir W. Thomson, in which at the end of the third day small symmetrical vertical slits in each ala already healed were scarcely visible. This case very strongly impressed one with the doctrine of chances, since on the same morning I was asked to see a patient in whom a similar transverse shot had crossed both orbits, destroying both globes and injuring the brain. A retained bullet in the upper portion of the nasal cavity has already been referred to (fig. 60). This accident was naturally a rare one; in that instance the bullet had only retained sufficient force to insert itself neatly between the bones. Wounds crossing the nasal fossae were comparatively common. The interference with the sense of smell often resulting is discussed in Chapter IX.