For temporal inunctions, where speedy mercurialization is desired. (Lanoline used as the base).

27.

Aluminis exsiccati

Atropiæ sulphatis

Unguenti boroglyceridi

For trachoma with pannus.

gr. v gr.

3j. M.

Largely used upon the palpebral granulations and cicatrices of chronic trachoma.

31. Sulphate of copper crayons.

Serviceable in chronic trachoma, especially where there is much cicatricial tissue and hypertrophy of the conjunctiva

Used for quickening indolent and perforating ulcers of the cornea, and

Used as a tonic and alternating medicament in all acute and subacute

attacks of inflammation of the eyeball, where internal treatment is suggested; and as a preliminary to operations upon the iris, including cataracts, etc.

For hyperesthesia of the retina, pain or neuralgia in the eyeballs.

For hyperesthesia of the retina found in general neurasthenia.

39.

gr. xx

Infusion of Jequirity is prepared by macerating three parts of the pulverized seeds in 500 parts of cold water for 24 hours, and adding 500 parts of boiling water. Cool and filter.

CLINICAL HINTS AND MAXIMS.

CLINICAL HINTS AND MAXIMS.

145

Cultivate a habit of close and accurate observation of the eye. The successful ophthalmologist often suspects or bases diagnoses upon a perception of subtle and delicate differences in the external appearance of an eye that he would have difficulty in explaining or showing to another.

The eye is proverbially recognized as the organ most perfectly expressing the affections and character of the mind behind it; it is, doubtless, as reliable an indicator of corporeal pathological condition, were we only keen enough to read the signs.

There can be no accurate and exhaustive diagnosis of refractive errors without the use of a mydriatic.

There can be no accurate and exhaustive diagnosis of refractive errors by the ophthalmoscope alone.

You cannot prescribe spectacles by rules, few or thousands. Every case is "peculiar."

Asthenopia is a labor grievance, either a strike for fewer hours of work a day, or a demand for better tools.

The hyperopic eye is a miracle worker, doing the impossible in removing the "punctum remotum” beyond infinity. If it be a natural product, nature must be credited with a sorry illogicality—creating an organ whose natural stimulus-convergent rays of light-she has never produced at any time. Myopia is produced by the belief that to read a newspaper (to be told what other people see) is of more value than to see for one's self.

Astigmatism is an invisible and elusive imp of mischief, requiring much keenness and patience to hunt him down. His hiding place is the ciliary muscle; his disguise, amblyopia. He hates atropia as his father was said to hate holy water.

If both physician and patient have intellectual amblyopia, mental astigmatism, or educational strabismus, how hard the cure of refractive errors that are merely ocular!

Let your expression of prognosis be indefinite rather than too precise, doubtful rather than too hopeful.

Cleanse the hands and nails thoroughly after touching a diseased eye. Never use atropia in eyes of people over forty years of age.

Atropia is of immense service to us, but it can cure neither color blindness nor distichiasis, nor several other ailments. "A house is a gude thing, but nicht to ride o' the riggin' o't."

It is not "simple conjunctivitis” if, unsuspected by you, a foreign body is lodged between the palpebral and ocular conjunctival folds.

A large part of the blindness of the world is caused by ophthalmia neonatorum, which is both wholly preventable and curable, if some one were not at fault. Ergo -!

In a case showing a "muddy" or "rusty" iris, associated with ciliary injection and a small pupil, instil atropia at once.

It is a saying that every good ophthalmic surgeon must spoil a hatfull of eyes before becoming a successful operator. This is not quite true; he must spoil, at least, a half-bushel or more-but they must all be pigs' eyes.

If an eye has been injured by an acid, wash the palpebral sulci at once with a weak alkaline solution; if the injury was from an alkali, as lime, use weak acid, vinegar and water, for example. Follow with a few drops of pure vegetable oil (olive, castor) or unsalted butter, and exclude air. “Tactus eruditus"—the sine qua non of ophthalmic success.

Gratitude has been wittily defined as a lively sense of benefits to come. The author of the mot must have been an oculist.