tte ejre and the iiooc, and sever the terccvx *^
close to the sclera, as possible. If the hook ^tv^m
passes freely up to the limbus, the entrie tenioa
is severed- We pass through the same steps with
the other eye.
There is an advantage in the subconjanctival
tenotomy over the dissecting from the limbns
down to the tendon, as there is not the disfigure*
ment of the eye by a sinking of the caruncnla.
The after-treatment consists simply in bandag-
ing the eyes for a few days, cleansing with anti-
septic lotions, and the adjustment of required
glasses on the removal of the bandage. If there



Plate XII.
1- 2.
Walter B — -, aged 12, came to the clinic December 8, 1893, witli
the following history: "Mother had six children, the youngest being
seven years of age, the oldest twenty-four. Nearly all have some defect-
ive sight. This boy had successive attacks of brain trouble between
the ages of two and a half and nine years. Lost sight of right eye
entirely at six years, but recovered partially as health grew better.
Had convulsions regularly from 5 p. m. till midnight when the sight of
the right eye was lost. The eyes were operated upon twice by an ocu-
list, first in January, 189-*, and agaiu in February, 18B2; but with little
ornobeuefit" (Fig I).
Vision of right eye = 20-160; with + 1.60 D., = 20-120.
Vision of left eye - 20-10; with + 0.50 D., = 20-30.
The ophthalmoscope did not show any pathological condition of
the retina of the amblyopic eye, though glasses would improve the
vision of this eye but slightly. A mydriatic revealed hyperopia 3.50 D.
