Transactions
American Ophthalmological Society
lS< I MEDICAL & I SClENTinC f PCRIOOICALS AND BOOKS 29East2/1'5! NEW YORK TRANSACTIONS of the American Ophthalmological Society Fifty-Seventh Annual Meeting SWAMPSCOTT, MASS., 1921 VOLUME XIX Philadelphia American Ophthalmological Society 1921 ^£ / PRESS OF WM. F. FKLL COMPANY PHILADELPHIA TABLE OF CONTENTS PAGE Officers and Council 5 List of Presidents 6 List of Members 7 Necrology 13 Minutes of the Proceedings 23 Some Features in the Technic of Trephining the Cornea for the Relief of Glaucoma: Dr. Frederick Tooke 37 Repeated Operations for Glaucoma : Report of Case : Dr. Oscar Dodd . . 48 Friability of the Iris a Factor in Iridectomy for Hypertension: Dr. Hiram Woods 54 The Action of Adrenalin on the Glaucomatous Eye: Dr. Arnold Knapp G9 The Physiologic Mode of Action of Mydriatics and Miotics, Explaining Their Effects in Hj'pertension (Glaucoma) : Dr. Carl Roller 76 After-Cataract: Henry Smith, CLE., Lt. Col. I.M.S 85 Intracapsular Cataract Extraction by Traction Alone : Dr. Allen Green- wood 96 The Insertions of the Ocular Muscles as seen in Text-Books and in the Dissecting Room: Dr. Lucien Howe 104 The Action of the Obliques and the Bearing of Head-Tilting in the Diag- nosis of Paralj'sis: Dr. Alexander Duane 108 A Case of Intermittent Exophthalmos: Dr. W. Gordon M. Byers 123 Double Luxation of the Eyeballs in a Case of Exophthalmic Goiter: Dr. Walter R. Parker 129 Loss of Vision from Sympathetic Inflammation with Recovery Following the L^se of Tuberculin : Dr. Harrj- Friedenwald 135 Loss of Vision in One Eye Restored by Pituitary Feeding in a Case of Compensatory Pituitary Hypertrophy: Dr. Edward Stieren 143 The Estimation of Compensation in Disability Resulting from Accidental Loss of Visual Acuity: Dr. E. Terry Smith 149 An Unusual Case of Conjunctival Irritation: Dr. H. H. Briggs 176 A Modified Accommodation Line and Prince's Rule: Dr. Alexander Duane 178 Illuminated Eye Spud with Magnifier: Dr. George S. Crampton 180 Foreign-Bod\' Spud Illuminator: Dr. W. Holbrook Lowell 181 Forceps for Tendo-Muscle Lengthening: Dr. W. Holbrook Lowell 182 Sections of Coralliform Cataract, and a Microscopic Specimen of Vitreous Humor from Asteroid Hyalitis: Dr. F. H. Verhoeff 182 3 4 Table of Contents. PAGE Tonometric Chart: Dr. E. C. EUett * 183 A Case of Mooren's Ulcer: Dr. Arthur J. Bedell 184 Sarcoma of the Cornea: Case Report: Dr. George S. Derby 191 Melanosarcoma (Melanoma) of the Choro'd Occurring; in Brothers: Dr. Adolph O. Pfingst 195 Report of a Case of Primary Tubular Epithelioma of the Lacrimal Sac: Dr. William Campbell Posey 205 Glioma Retina? Treated bj^ X-Rays, with Apparent Destruction of the Tumor and Preservation of Normal Vision: Dr. F. H. Verhoeff . . . . 209 The Use of Radium Plugs in the Dissolution of Orbital Gliomatous Masses Developing after Excision of the Globe: Dr. Burton Chance 216 Coats' Disease of the Retina: Report of Two Cases: Dr. A. Edward Davis 222 Lipaemia Retinalis: Dr. Wm. F. Hard}' 229 Some Impressions Derived from the Study of Recurrent Hemorrhages into the Retina and Vitreous of Young Persons: Dr. William C. Finnoff 238 The Ocular Symptoms of Epidemic Encephalitis: Dr. Matthias Lanck- ton Foster : 259 The Effect of Variations in Intensity of Illumination on Acuity, Speed of Discrimination, Speed of Accommodation, and Other Important Eye Functions: Dr. C. E. Ferree and Dr. G. Rand (b}' invitation) 269 Some Hitherto Unrecognized Signs in Skiascopy: Dr. J. Herbert Clai- borne 297 The Ocular Changes in Infantile Scurvy: Report of a Case : Dr. Eugene M. Blake 307 The Relation of Headache to Functional Monocularity: Dr. Albert C. SneU 311 Three Cases of Word-Blindness: Dr. Ellice M. Alger 322 The Character of Iritis Caused by Focal Infection: Dr. William L. Benedict 335 Suggestions for a Uniform Method of Estimating Loss of Visual Effi- ciency Following Industrial Eye Injuries: Dr. Nelson M. Black. . . 363 The Compensation Problem in Ophthalmology: Dr. Erastus Eugene Holt, Jr 381 Index 393 OFFICERS AND COUNCIL of the American Ophthalmological Society Elected at the Annual Meeting, June 14, 1921 President DR. WILLIAM M. SWEET, Philadelphia Vice-President DR. WM. H. WILMER, Washington, D. C. Secretary- Treas urer DR. T. B. HOLLOW AY, Philadelphia Council DR. CASSIUS D. WES(X)TT, Chicago, III. DR. W. B. LANCASTER, Boston, :Mass. DR. WALTER R. PARKER, Detroit, Mich. DR. W. E. LAMBERT, New York DR. HOW^ARD F. HANSELL, Philadelphia PRESIDENTS OF THE SOCIETY 1864-1868 Dr. 1869-1873 Dr. 1874-1878 Dr. 1879-1884 Dr. 1885-1889 Dr. 1890-1893 Dr. 1894-1898 Dr. 1899-1902 Dr. 1903-1905 Dr. 1906 Dr. 1907 Dr. 1908 Dr. 1909 Dr. 1910 Dr. 1911 Dr. 1912 Dr. 1913 Dr. 1914 Dr. 1915 Dr. 1916 Dr. 1917 Dr. 1918 Dr. 1919 Dr. 1920 Dr. 1921 Dr. (Since its Foundation) Edward Delafield, New York. Henry W. Williams, Boston, Mass. C. R. Agnew, New York. Henry D. Noyes, New York. William F. Norris, Philadelphia. Hasket Derby, Boston, Mass. George C. Harlan, Pliiladelphia. O. F. Wadsworth, Boston, Mass. Charles S. Bull, New York. Arthur Mathewson, Washington, D. C. Charles J. Kipp, Newark, N. J. Samuel D. Risley, Philadelphia. S. B. St. John, Hartford, Conn. Samuel Theobald, Baltimore, Md. Emil Gruening, New York. Edward Jackson, Denver, Col. Myles Standish, Boston, Mass. Robert Sattler, Cincinnati, O. M. H. Post, St. Louis, Mo. George E. de Schweinitz, Philadelphia. Peter A. Callan, New York. William H. Wilder, Chicago, 111. Lucien Howe, Buffalo, N. Y. Hiram Woods, Baltimore, Md. John E. Weeks, New York. American Ophthalmological Society. FOUNDED 1864. LIST OF MEMBERS. * Associate Members. Elected. Name. 1896 Dr. a. E. Adams, 1915 Dr. Ellice M. Alger, 1899 Dr. a. N. Alling, 1883 Dr. J. A. Andrews, 1913 Dr. Fred. D. Bailey, 1911 Dr. Arthur J. Bedell, 1908 Dr. Geo. H. Bell, 1905 Dr. Jas. H. Bell, 1921 *Dr. Wm. L. Benedict, 1921 *Dr. Nelson M. Black, 1916 Dr. Eugene M. Blake, 1909 Dr. James Bordley, Jr., 1881 Dr. H. W. Bradford, 1918 Dr. H. H. Briggs, 1908 Dr. E. V. L. Brown, 1907 Dr. Wm. E. Bruner, 1901 Dr. H. D. Bruns, 1920 *Dr. John W. Burke, 1906 Dr. W. K. Butler, 1906 Dr. W. Gordon M. Byers, 1918 Dr. F. Phinizy Calhoun, 1876 Dr. Peter A. Callan, 1885 Dr. F. P. Capron, O. M. Dr. W. H. Carmalt, 1898 Dr. J. T. Carpenter, 1904 Dr. Burton Chance, 1893 Dr. H. B. Chandler, 1904 Dr. J. W. Charles, 1893 Dr. F. E. Cheney, 1898 Dr. J. H. Claiborne, 1912 Dr. E. W. Clap, 1891 Dr. C. F. Clark, O. M Residence. The Inn, 40 East 41st Street, 257 Church Street, 1229 State Street, 260 Hancock Street, 344 State Street, 40 East 41st Street, Moore Building, Ma\'o Clinic, 120 Wisconsin St., 55 Trumbull Street, Professional Building, 73 Haywood Street, 122 S. Michigan Blvd., Guardian Bldg., 211 Camp Street, 1740 M Street, N. W., 1207 M Street, N. W., 346 Mountain Street, Candler Building, 452 Fifth Avenue, 118 Angell Street, 261 St. Ronan Street, 2030 Chestnut Street, 1303 Spruce Street, 341 Beacon Street, 509 Humboldt Bldg., 64 Commonw'th Ave., 9 East 46th Street. 390 Commonw'th Ave., 188 East State Street, 7 . Original Members Place. Newburgh, N. Y. New York, N. Y. New Haven, Conn Santa Barbara, Cal. Brooklyn, N. Y. Albany, N. Y. New York, N. Y. San Antonio,Texas. Rochester, Minn. Milwaukee, Wis. New Haven, Conn. Baltimore, Md. Wolfboro, N. H. Asheville, N. C. Chicago, 111. Cleveland, Ohio. New Orleans, La. Washington, D. C. Washington, D. C. Montreal, Canada. Atlanta, Ga. New York, N. Y. Providence, R. I. New Haven, Conn. Philadelphia, Pa. Philadelphia, Pa. Boston, Mass. St. Louis, Mo. Boston, Mass. New York, N. Y. Boston, Mass. Columbus, Ohio. 8 Members of the American Ophthalmological Society. Elected. Name. 1912 Dr. G. S. Crampton, 1890 Dr. C. M. Culver, 1906 Dr. R. J. Curdy, 1902 Dr. Colman W. Cutler, 1907 Dr. a. E. Davis, 1878 Dr. W. S. Dennett, 1918 *Dr. David N. Dennis, 1909 Dr. George S. Derby, 1874 Dr. Lewis S. Dixon, 1912 Dr. Oscar Dodd, 1902 Dr. Alexander Duane, 1908 Dr. J. L. Duncan, 1912 Dr. E. C. Ellett, 1887 Dr. J. B. Emerson, 1890 Dr. Arthur E. Ewing, 1920 *Dr. Marcus Feingold, 1896 Dr. T. H. Fenton, 1920 *Dr.William C. Finnoff, 1915 Dr. Carl Fisher, 1893 Dr. George F. Fiske, 1909 Dr. M. L. Foster, 1904 Dr. W. H. Fox, 1913 Dr. Lee M. Francis, 1902 Dr. Percy Fridenberg, 1894 Dr. H. Friedenwald, 1913 Dr. H. G. Goldberg, 1895 Dr. G. M. Gould, 1896 Dr. H. Y. Grant, 1919 *Dr. John Green, Jr., 1908 Dr. L. S. Greene, 1905 Dr. Allen Greenwood, 1914 Dr. J. Milton Griscom, 1892 Dr. G. W. Hale, 1895 Dr. Wm. D. Hall, 1887 Dr. H. F. Hansell, 1918 *Dr. D. F. Harbridge, 1918 Dr. Wm. F. Hardy, 1901 Dr. Herbert Harlan, 1889 Dr. David Harrower, 1896 Dr. N. D. Harvey, 1904 Dr. H. II. Haskell, 1914 Dr. Edw. B. Heckel, 1913 Dr. Chas. R. Heed, 1920 ♦Dr. Emory Hill, 1896 Dr. Ward A. Holden, Residence. 1700 Walnut Street, 36 Eagle Street, 1134 Rial to Building, 24 East 48th Street, 47 East 57th Street, 36 Grameroy Park, 221 West 9th Street, 23 Bay State Road, 232 Clarendon Street, 1604 Chicago Avenue, 139 E. 37th Street, Jenkins Bldg., Exchange Building, 40 East 41st Street, Metropolitan Bldg., 4206 St. Charles Ave., 1319 Spruce Street, 318 Majestic Building, 1028 Pacific-Mutual Bldg 25 E. Washington Street, 106 Centre Avenue, 1826 Jefferson Place, 636 Delaware Avenue, 38 West 59th Street, 1029 Madison Ave., 1925 Chestnut Street, 215 Atlantic Avenue, Falls View, 626 Metropolitan Bldg., 1624 I Street, N. W., 101 Newbury Street, 192.") Chestnut St., 210 Hitchcock Building, 416 Marlborough Street, 17th and Walnut Streets, Goodrich Building, Metropolitan Bldg., 516 Cathedral Street, 13 Elm Street, 114 Waterman Street, 29 Commonwealth Ave., Jenkins liuilding, 1205 Spruce Street, Professional Building, 8 East 54th Street, Place. Philadelphia, Pa. Albany, N. Y. Kansas City, Mo. New York, N. Y. New York, N. Y. New York, N. Y. Erie, Pa. Boston, Mass. Boston, Mass. Evanston, 111. New York, N. Y. Pittsburgh, Pa. Memphis, Tenn. New York, N. Y. St. Louis, Mo. New Orleans, La. Philadelphia, Pa. Denver, Col. .,Los Angeles, Cal. Chicago, 111. NewRochelle,N.Y Washington, D. C. Buffalo, N. Y. New York, N. Y. Baltimore, Md. Philadelphia, Pa. Atlantic City, N. J. Ontario, Canada. St. Louis, Mo. Washington, D. C. Boston, Mass. Philadelphia, Pa. Nashville, Tenn. Boston, Mass. Philadelphia, Pa. Phoenix, Ariz. St. Loui.s, Mo. Baltimore, Md. Worcester, Mass. Providence, R. I. Boston, Mass. Pittsburgh, Pa. Philadelphia, Pa. Richmond, Va. New York, N. Y. Members of the American Ophthalmological Society. 9 Elected. Name. 1909 Dr. T. B. Hollow ay, 1883 Dr. E. E. Holt, 1921 *Dr. E. E. Holt, Jr. 1917 *Dr. Harvey J. Howard, 1878 Dr. Lucien Howe, 1891 Dr. D. W. Hunter, 1898 Dr. J. W. Ingalls, 1895 Dr. E. E. Jack, 1885 Dr. Edward Jackson, 1912 Dr. p. C. Jameson, 1918 *Dr. J.Wilkinson Jervey, 1892 Dr. W. B. Johnson, 1908 Dr. B. R. Kennon, 1919 *Dr. Ben Witt Key, 1903 Dr. Arnold Knapp, 1889 Dr. Carl Koller, 1888 Dr. Chas. W. Kollock, 1913 Dr. Robert S. Lamb, 1891 Dr. W. E. L.\mbert, 1902 Dr. W. B. Lancaster, 1919 *Dr. Francis Lane, 1912 Dr. H. M. Langdon, 1903 Dr. J. C. Lester, 1907 Dr. George F. Libby, 1883 Dr. J. A. Lippincott, 1878 Dr. F. B. Loring, 1909 Dr. R. G. Loring, 1899 Dr. D. B. Lovell, 1914 Dr. W. H. Lowell, 1919 *Dr. W. H. Lueddb, 1918 Dr. Hunter H.McGuire, 1913 Dr. a. L. Macleish, 1891 Dr. F. W. Marlow, 1878 Dr. W. V. Marmion, 1907 Dr. C. H. May, 1874 Dr. C. S. Merrill, 1908 Dr. H. S. Miles, 1883 Dr. J. Lancelot Minor, 1916 Dr. John H. Ohly, 1908 Dr. W. R. Parker, 1908 Dr. S. McA. Payne, 1920 *Dr. AdolphO.Pfingst, 1895 Dr. R. J. Phillips, 1898 Dr. W. Campbell Posey, 1895 Dr. H. R. Price, Residence. 1819 Chestnut Street, 723 Congress Street, 723 Congress Street, Union Medical College, 520 Delaware Avenue, 80 West 40th Street, 328 Stuyvesant Ave., 215 Beacon Street, 318 Majestic Building, 139 Montague Street, Jervey-Jordan Bldg., 170 Broadway, Taylor Building, 180 W. 59th Street, 10 East 54th Street, 681 Madison Avenue, 86 Wentworth Street, Stoneleigh Court, 112 East 35th Street, 522 Commonw'lth Ave., 25 E. Washington Street 2014 Chestnut Street, 616 Madison Avenue, Majestic Bldg., Jenkins Building, 1420 K Street, 140 Beacon Street, 340 Main Street 101 Newbury Street, 311 Metropolitan Bldg., 105 N.Braddock Street, 1101 Brockman Bldg., 731 University Block, 1300Fairm'ntSt., N.W., 698 Madison Avenue, 27 S. Hawk Street, 881 Lafayette Street, Bank of Commerce Bldg. 22 Schermerhorn St., David Whitney Bldg., 542 Fifth Avenue, Francis Building, 123 So. 39th Street, 2049 Chestnut Street, 146 Remsen Street, Place. Philadelphia, Pa. Portland, Me. Portland, Me. Peking, China. Buffalo, N. Y. New York, N. Y. Brooklyn, N. Y. Boston, Mass. Denver, Col. Brooklyn, N. Y. Greenville, S. C. Paterson, N. J. Norfolk, Va. New York, N. Y. New York, N. Y. New York, N. Y. Charleston, S. C. Washington, D. C. New York, N. Y. Boston, Mass. , Chicago, 111. Philadelphia, Pa. New York, N. Y. Denver, Col. Pittsburgh, Pa. Washington, D. C. Boston, Mass. Worcester, Mass. Boston, Mass. St. Louis, Mo. W^inchester, Va. Los Angeles, Cal. Syracuse, N. Y. Washington, D. C. New York, N. Y. Albany, N. Y. Bridgeport, Conn. Memphis, Tenn. Brooklyn, N. Y. Detroit, Mich. New York, N. Y. Louisville, Ky. Philadelphia, Pa. Philadelphia, Pa. Brooklyn, N. Y. 10 Members of the American Ophthalmological Society. Elected. Name. 1906 Dr. Brown Pusey, 1901 Dr. Alex. Quackenboss, 1906 Dr. McCluney Rad- cliffe, 1885 Dr. Alex'r Randall, 1901 Dr. R. G. Reese, 1899 Dr. H. O. Reik, 1912 Dr. W. G. Reynolds, 1901 Dr. G. O. Ring, 1895 Dr. H. W. Ring, 1908 Dr. J. Norman Risley, 1920 *Dr. William H. Roberts 1899 Dr. Dunbar Roy, 1875 Dr. John D. Rushmore, 1880 Dr. Robert Sattler, 1912 Dr. a. C. Sautter, 1898 Dr. T. B. Schneideman, 1919 *Dr. M. J. Schoenberg, 1889 Dr. G. E. de Schweinitz 1895 Dr. p. N. K. Schwenk, 1918 *Dr. Wm. E. Shahan, 1013 Dr. C. E. G. Shannon, 1905 Dr. John R. Shannon, 1916 *Dr. Francis W. Shine, 1911 Dr. J. F. Shoemaker, 1902 Dr. Wm. A. Shoemaker, 1902 Dr. Wm. T. Shoemaker, 1905 Dr. E. a. Shumway, 191S Dr. Dorland Smith, 1912 Dr. E. T. Smith, 1910 Dr. Albert C. Snell, 1909 Dr. F. M. Spalding, 1911 Dr. Chas. N. Spratt, 1884 Dr. Myles Standish, 1903 Dr. Edw. Stieren, 1887 Dr. T. Y. Sutphen 1900 Dr. Wm. M. Sweet, 1917 Dr. William Tarun, 1888 Dr. Lewis H. Taylor, 1880 Dr. Samuel Theobald, 1903 Dr. Edgar S. Thomson, 1898 Dr. Jas. Thorington, 1911 Dr. Fred. T. Tooke, 1912 Dr. E. Torok, 1906 Dr. H. H. Tyson, Residence. 7 West Madison Street, 143 Newbury Street, 1906 Chestnut Street, 1717 Locust Street, 50 West 52nd Street, 300 E. 30th Street, 1165 Dean Street, 17th and Walnut Streets, 185 Church Street, 238 Union Street, , 461 E. Colorado Street, Gr. Opera House Blk., 129 Montague Street, 30, The Groton, 1421 Locust Street, 1831 Chestnut Street, 103 E. 81st Street, 1705 Walnut Street, 1417 North Broad St., Metropolitan Bldg., 1633 Spruce Street, 17 Ea,st 38th Street, 33 West 52d Street, 1006 Carlcton Bldg., 1006 Carleton Bldg., 109 South 20th Street, 2046 Chestnut Street, 834 Myrtle Avenue, 36 Pearl Street, 53 S. Fitzhugh St., 128 Newbury Street, 900 Nicollet Avenue, 51 Hereford Street, Union Arcade Bldg., 992 Broad Street, 1205 Spruce Street, 605 Park Ave., 83 So. Franklin Street, Cathedral & How'd Sts., 39 Ea.st 6 l.st Street, 2031 Chestnut Street, 368 Mountain Street, 8 East 54th Street, 11 East 48th Street, Place. Chicago, 111. Boston, Mass. Philadelphia, Pa. Philadelphia, Pa. New York, N. Y Baltimore, Md. Brooklyn, N. Y. Philadelphia, Pa. New Haven, Conn. New Bedford, Mass. Pasadena, Cal. Atlanta, Ga. Brooklyn. N. Y. Cincinnati, Ohio. Philadelphia, Pa. Philadelphia, Pa. New York, N.Y. Philadelphia, Pa. Philadelphia, Pa. St. Louis, Mo. Philadelphia, Pa. New York, N. Y New York, N. Y. St. Louis, Mo. St. Louis, Mo. Philadelphia, Pa. Philadelphia, Pa. Bridgeport, Conn. Hartford, Conn. Rochester, N. Y. Boston, Mass. Minneapolis, Minn. Boston, Mass. Pittsburgh, Pa. Newark, N. J. Philadelphia, Pa. Baltimore, Md. Wilkesbarre, Pa. Baltimore, Md. Xew York, X. Y. Philadelphia, Pa. Montreal, Canada. New York, N. Y. New York, N. Y. Members of the American Ophthalmological Society. 1 1 Elected. Name. 1916 Dr. Derrick T. Vail, 1898 Dr. C. A. Veasey, 1905 Dr. F. H. Verhoeff, 1903 Dr. F. L. Waite, 1916 *Dr. Clifford B. Walker, 1893 Dr. J. E. Weeks, 1914 Dr. Walter B. Weidler, 1900 Dr. C. D. Wescott, 1916 *Dr. John M. Wheeler, 1891 Dr. Edward Wheelock, 1892 Dr. J. A. White, 1919 *Dr. Lloyd B. Whitham 1895 Dr. W. H. Wilder, 1910 Dr. Carl Williams, 1912 Dr. Edw. R. Williams, 1893 Dr. Wm. H. Wilmer, 1906 Dr. J. Scott Wood, 1900 Dr. Hiram Woods, 1915 *Dr. H. W. Wootton, 1881 Dr. J. P. Worrell, 1905 Dr. Wm. Zentmayer, 1903 Dr. S. Lewis Ziegler, Total Residence. 24 East 8th Street, Paulsen Building, 101 Xewbury Street, 68 Pratt Street, 317 Main Street, 46 East 57th Street, 137 East 60th Street, 22 E. Washington St., 30 West 59th Street, 400 Cutler Building. 200 E. Franklin Street, 514 Cathedral Street, 122 S.Michigan Blvd., School L. & Greene St., 1069 Boylston Street, 1610 I Street, N. W., 172 Sixth Avenue, 842 Park Avenue, 319 Lexington Avenue, 20 South 7th Street, 1506 Spruce Street, 1625 Walnut Street, Place. Cincinnati, Ohio. Spokane, Wash. Boston, Mass. Hartford, Conn. Springfield, Mass. New York, N. Y. New York, N. Y. Chicago, 111. New York, N. Y. Rochester, N. Y. Richmond, Va. Baltimore, Md. Chicago, 111. Philadelphia, Pa. Boston, Mass. Washington, D. C. Brooklyn, N. Y. Baltimore, Md. New York, N. Y. Terre Haute, Ind. Philadelphia, Pa. Philadelphia, Pa. 188 HONORARY MEMBERS. 1868 Dr. J. S. Prout, Fishkill, Dutchess Co., N.Y. O. M. Dr. F. p. Sprague, 229 Commonw'lth Ave., Boston, Mass. EMERITUS MEMBERS. 1905 Dr. S. C. Maxson, 235 Genesee Street, Utica, N. Y. 1869 Dr. Thomas R. Pooley, 26 Trinity Street, Newton, N. J. 1878 Dr. J. A. Spalding, 627 Congress Street, Portland, Me. Whole number .... 193 IN MEMORIAM DR. ARTHUR MATHEWSON, elected 1868 DR. GEORGE T. STEVENS, elected 1873 DR. ADOLF ALT, elected 1882 I)i{. Aktihh Matiikwson. NECROLOGY. ARTHUR MATHEWSON, A.M., M.D.* JAMES W. INGALLS, M.D., Brooklyn, New York. Dr. Arthur Mathewson, son of Rufus Smith and Faith (McClellan) Mathewson, was born in Brooklyn, Conn., September 11, 1837. After having suffered several years from paralysis, he died at his home in Washington, D. C, December 31, 1920. Dr. Mathewson was descended from Pilgrim ancestry. On the paternal side he was the ninth lineal descendant of John Alden. On the maternal side, the McClellans came from Scotland and were among the early settlers of Worcester, Mass. Preparation for college was received at Woodstock Academy, Woodstock, Conn. He graduated at Yale in 1858 and then spent one year as private tutor in a planter's family in Mcintosh Co., Georgia. He received the degree of iVI.D. from the Medical Department of New York University on March 4, 1861. He passed first of 37 in a competitive examination. For a short time he was on duty at the Naval Hospital in Brooklyn and then served two years on the gunboat Winona in Farragut's squadron. In 1864 he was promoted to Passed Assistant Surgeon, passing first of 30 competitors. In March, 1865, was promoted to the position of Surgeon, and in the same year he received his j\I.A. degree from Yale. In May, 1867, he began practice in Brooklyn, N. Y., specializing in oph- thalmic and aural surgery. In the spring of 1868. associated with Dr. Cornehus R. Agnew, of New York, and others, *For much of the data in this memoir the w-riter is indebted to the courtesy of the hbrarian of Yale University. 13 14 Necrology. Dr. Mathewson aided in establishing the Brooklyn Eye and Ear Hospital, in which institution he served as Senior Sur- geon for thirty-two years. In collaboration with Dr. Homer G. Newton he translated Dr. Adam Politzers' work on dis- eases of the ear, which was published under the title of "Membrana Tympani, in Health and Disease, Clinical Con- tributions to the Diagnosis and Treatment of Diseases of the Ear." In 1868 Dr. Mathewson was elected a member of the American Ophthalmological Society. In 1869 he spent about eight months studying abroad. In 1870 he joined the New York Ophthalmological Society, and was honored on two occasions by being elected president. Upon his resignation in 1904 he was made an honorary member. Dr. Mathewson was elected a member of the American Otological Society in 1872, and of the International Otolog- ical Society in 1876. In the Transactions of the Inter- national Otological Society for 1876 Dr. Mathewson de- scribed a new operation for the removal of bony growths from the external auditory meatus. Also in 1876 Dr. Mathewson delivered the first course of lectures on ophthalmology and otology in the Yale Medical School. In 1883 he was appointed lecturer on otology in the Long Island College Hospital. He served St. Mary's Hospital, St. John's Hospital, and Brooklyn City Hospital as ophthalmic and aural surgeon for many years. In 1885 he became a member of the American Academy of Medicine. In 1886 he was appointed Professor of Otology in the Long Island College Hospital. This position he held for ten years, and after his resignation was appointed Professor Emeritus. In 1893 he was elected vice-president of the American Otological Society and jM-osident in 1894, 1895, 189(), and 1897. In 1902 Dr. Mathewson was elected vice- president of the American Ophthalmological Society, and in 190() he served as president. Ho retired from practice in 1904. After leaving Brooklvn. I)i'. Mathewson took uji his I)i(. {;kok(;k Thomas Stevens. George Thomas Stevens, M.D., Ph.D. 15 residence in Washington, D. C. For many years it was his custom to spend a part or the whole of the summer on his Woodstock estate, comprising several hundred acres of magnificent pine forest bordering on a beautiful lake. Dr. Mathewson was married in Washington, D. C, in 1870, to Harriet Silliman, daughter of Thomas and Emily (Silliman) Blagden. Mrs. Mathewson died a number of years ago. Two sons and a daughter survive. Dr. Mathewson, while in Brooklyn, was a member of the Church of the Pilgrims (Congregationalist). Although dig- nified in bearing, yet he was modest and unassuming. His strong, sturdy nature always reminded me of an oak tree, and when the news of his death was received, the exclama- tion came to my lips, "a, noble oak has fallen." GEORGE THOMAS STEVENS, M.D., Ph.D. ALEXANDER DUANE, M.D., New York. Dr. George Thomas Stevens was the son of Rev. Chauncey Coe Stevens and Lucinda Hoadley Stevens. He was born in Jay, Essex County, New York, on July 25, 1832, and died at his residence, 350 West 88th Street, New York, on January 30, 1921. His childhood and early j^outh were spent in Elizabeth- town and Crownpoint, New York, where his father was a Congregational minister. He received his early education in the schools of the county and through studies with his father, who was a man of high literary attaimnents. He received his medical education at the Castleton ]\Iedi- cal College, Vermont, where he graduated in medicine in 1857. He commenced the practice of medicine in Wadhams Mills, Essex County, New York. On April 17, 1861. he married Harriet Weeks Wadhams, of Wadhams INlills, New 16 Necrology. York. Their children were Frances Virginia Stevens, who married Professor George Tiumbull Ladd, of Yale Univer- sity; Dr. Charles Wadhams Stevens, who is now practising ophthalmology in New York city; and Georgina Wadhams Stevens, who died in childhood. At the outbreak of the Civdl War in 1861 he was commis- sioned an assistant surgeon in the Seventy-seventh Regi- ment, New York State Volunteers. He was later made sur- geon, and for two and one-half years was operating surgeon of his division. He served in all the campaigns of the Army of the Potomac, and for a time was Medical Inspector of the Sixth Corps. At the close of the war he resumed the general practice of medicine in Albany, New York. Early in his career he began to devote special attention to ophthalmology, and while still in Albany had become widely known as an enthusiastic student of the subject and as an operator. In 1870 he was appointed Professor of Physiology and Diseases of the Eye in the Albany Medical College, the Medical Department of Union University. In 1877 he was given the honorary de- gree of Doctor of Philosophy by Union. He became a member of the American Ophthalmological Society in 1873. Being desirous of confining his work solely to ophthalmol- ogy, he moved to New York in 1880. He continued in active practice there up to the time of his last illness, about two years before his death, and retained his steadiness of hand and abihty to perform delicate eye surgery into his eighty-sixth year. In 1881 he presented and described at the International Medical Congress in London his recording perimeter, prob- ably the first of its kind. In 1883 he received the highest award in a competition instituted by the Royal Academy of Medicine of Belgium for an essay on Functional Nervous Diseases. George Thomas Stevens, M.D., Ph.D. 17 Soon after this he performed one of the first operations done in this country for removing a foreign body from the eye with a magnet. The foreign body, visible with the ophthalmoscope, was located in the retina.- The writer of this paper had the opportunity of seeing the case at least twenty-five years after the operation, and found the eye per- fectly normal except for a cataract. Dr. Stevens was, indeed, a natural operator— dexterous, careful, and cool, and with some it was a matter of regret that he did not give more attention in his later years to gen- eral ophthalmology, in which his skill would have made him preeminent. But comparatively early he turned from gen- eral ophthalmic work to the study of motor anomahes, and to this study he devoted almost exclusively the last forty years of his life. Strongly convinced of the dependence of many nervous conditions (chorea, epilepsy, migraine) on ocular conditions, and particularly on disorders of the ocular muscles, he wrote much concerning these inter-relations, and constantly exemphfied his faith in his practice. It was his life work, which he pursued with the zeal of a missionary almost to the day of his death. Particularly he advocated operations on the eye muscles as a means of relieving these conditions. Apart from his writings on these topics, presented with admirable clearness and great force, we may say that his main contributions to the subject were these: First, he pro- pounded a nomenclature of motor anomalies, which is now firmly established and universally employed; second, he de- vised the phorometer, clinoscope, clinometer, and tropo- meter, instruments that form an important part of the arma- mentarium of ophthalmologists who are at all interested in the study of motor anomalies; third, he suggested and prac- tised a variety of new operations on the muscles, which re- quired a delicacy and skill that his numerous imitators have not always been able to command; fourth, for conducting 2 18 Necrology. these operations he invented a set of instruments which are among the best that we have. As is well known, his radical views and his uncompromising way of presenting them aroused much antagonism. He was a born fighter and, possessing strong convictions, expressed them in no uncertain tones. He had consequently many opponents as well as many adherents. Not a few regarded his views as ultra-radical, mistaken in principle and dan- gerous in practice. This opposition at times waxed bitter, and in conducting it many forgot the considerable services that he had rendered to ophthalmology and quite overlooked the essential sincerity and integrity of the man. It is on this last point that the author would specially speak. It was his fortune to be associated with Dr. Stevens for some eight months in the beginning of his own work in ophthalmology. It was by such close personal contact that he learned to know Dr. Stevens as a man genial, courageous, virile, and sincere, a man of warm attachments and with a host of friends. Although engaged a good part of his life in controversies, he was the reverse of bittei in his antagonisms, and rarely, if ever, let slip an expression indicative of a per- sonal animus. It was a characteristic trait that he was very fond of children and animals. Dr. Stevens was a man of great industry, ingenuity, origi- nality, and genius. His was a many-sided character. A skil- ful artist, he made excellent sketches of the fundus and, as one of his hobbies, made extra-illustrated books. He was a lover of good books and had a large general li- brary. He was also an ardent student, not only of all branches of his profession, but also of natural history in all its forms. His principal recreation was the study of botany. His extensive herbarimn included plants and flowers from all parts of America and Europe. His (iuide to Flowering Plants, mentioned below, was published in his seventy-eighth year. It was illustrated with hundreds of drawings made by Adolf Alt, M.D. 19 him from nature with great aecuracj^ and remarkable skill. Of nature, indeed, he was always a great lover and an en- thusiastic student. In politics he was a Republican; in religion, a member of the Congregational Church. Always interested in current events, always, as one ot his friends said, intensely alive and of remarkable intellectual vitality, he retained his interests and his mental vigor to the very end of his eighty-eight years. His published works include: "Three Years in the Sixth Corps," 1866; ''Flora of the Adirondacks," 1868; "Les Maladies des Centres Nerveux," 1883 ; ''Functional Nervous Diseases," 1884; ''Coaching through North Wales," 1895; "Les Muscles Moteurs de I'Oeil et I'Expression du Visage," 1892; "A Treatise on the Motor Apparatus of the Eyes," 1905; "An Illustrated Guide to Flowering Plants," 1910; "A Series of Studies of Nervous Affections," 1911; as wtU as numerous articles on ophthalmologic and general scientific topics. ADOLF ALT, M.D. W^M. F. HARDY, M.D., St. Louis, Mo. The death of Dr. Adolf Alt occurred June 28, 1920, after two and a half years of invalidism the result of a myocarditis. Throughout his long illness the gentleness and patience which were his characteristics in health were never absent. If he entertained doubts as to his restoration to health, he carefully concealed them from his friends and those he loved in order to spare them pain. If simplicity, honesty, and candor are attributes of great- ness, then Adolf Alt deserved that distinction. Whether in private or public life, in professional or literary activity, these qualities were ever dominant. To create a false im- pression by word or deed in his professional relations with 20 Necrology. patients would have been considered by him dishonesty and hypocrisy. The many httle arts used by many professional men to psychologically influence their patients were con- sidered beneath his dignity. His criticisms were ever kindly, honest, and constructive, if not always agreeable. One could always obtain a candid opinion from Dr. Alt. Dis- simulation had no place in his character. While well versed in every branch of ophthalmology, it was his literary work and knowledge of ophthalmic pathology which gave him his greatest renown. Pathology might well be called his hobby. A great deal of his preparation of speci- mens, sectioning, staining, and microscopic examinations, was done in his office. If not busy with patients, he was working with specimens or looking through a microscope. He always contended that if this work was left to be done at leisure time in a hospital laboratory or at home, it would not be done. He did everything himself, even to the making of microphotographs. This latter work was done at home with an apparatus of his own construction. His mind was a veritable storehouse of information, and his memory of past events in ophthalmology was almost uncanny. It behooved one with a new idea or theory to seek out Dr. Alt and obtain his opinion as to its originality. Nine times out of ten he would unhesitatingly and unerringly state who had promulgated the same idea or theory and where it was recorded. His own writings were voluminous, the bibliography of his articles comprising 206 numbers. Most of these dealt with pathologic subjects. One of his earliest efforts was a monograph, "The Normal and Pathological Histology of the Human Eye." For many years, from 1S,S4 to lOlS. ho edited the American Journal of Ophthalnwlogy. Virtually all the work of getting out this monthly pubHcation fell on his shoulders. It was this which kept him in such intimate touch with the progress of ophthalmology throughout the Adolf Alt, M.D. 21 world. A perfect knowledge of French and German aided much in this work. He belonged to no clubs or lodges and to few societies. His diversions were art and music. A violinist of no mean ability, he was one of a quartet of amateur musicians who, for many years, met regularly once a week at his home. Year in and year out found him a regular subscriber to and patron of the Symphony SocietJ^ He could not resist the appeal of a good painting or a beautiful rug. He was not what is known as a "mixer," and preferred his home and famil}^ above all else. Each year six weeks of rest in the woods of northern Wisconsin in the late summer gave him renewed zest and vigor for the work of the winter. Dr. Alt was the son of a physician and was born at ^Nlann- heim, Germany, August 13, 1851. As was not uncommon in the land of his birth, he was given a superfluity of Chris- tian names, Gustav Adolf Fredrich Wilhelm, all of which he dropped except Adolf. His educational training included the usual gymnasium course, followed by a period at a boarding school and later his matriculation at Heidelberg. The death of his father and the breaking out of the Franco- Prussian War altered his plans temporarily. After service in the army he continued his medical studies, graduating from Heidelberg in March, 1875. On completion of his military service as Infantry Surgeon, which required but five and a half months, he departed for America, influenced in great measure by Dr. Herman Knapp, of New York City. Becoming assistant to Dr. Knapp, he served two years as House Surgeon in the New York Ophthalmic and Aural Institute. Leaving New York, he located in Toronto, be- coming a member of the College of Physicians and Surgeons of Ontario. In 1880 he removed to St. Louis, which became his permanent home and the seat of most of his ophthalmo- logic activities. His editorship of the American Journal of Ophthalmologij began in 1884. From 1886 to 1901 he was 22 Necrology. Professor of Ophthalmology in the Beaumont Hospital Medical College, and after its consolidation with the Alarion Sims Medical College to form the Medical Department of St. Louis University, Dr. Alt continued in the chair of ophthalmology until 1910. He resigned then to take the appointment of Clinical Professor of Ophthalmology in the Washington University Medical School. By reason of the age limit he was retired as Professor Emeritus of Ophthal- mology in 1917. He was elected a member of the American Ophthalmolog- ical Society in 1882, and this membership he prized above all others. One of the founders of the American Academy of Ophthalmology and Oto-Larj^ngology, he served as its president the first two years of its existence. In 1911 he presided as chairman of the Section of Ophthalmology of the American Medical Association at its meeting in Los Angeles. Early in his career he combined otology with ophthalmology, but soon dropped it when he found men, as he stated, who knew much more about it than he did. Dr. Alt was married in 1879 and had two children, one of whom died in childhood. He leaves a widow and son, Arnold D. Alt. The true test of a gentleman is a consideration for others. No veneer of gentility can replace or counterfeit it. This, when coupled with simplicity, candor, honesty, and erudi- tion, makes up a composite whole which we term gentleman and scholar. Thus was Adolf Alt. MINUTES OF THE PROCEEDINGS. FIFTY-SEVENTH ANNUAL MEETING. New Ocean House, Swampscott, Mass., June 14, 1921. The Fifty-seventh Annual ]\Ieeting of the Society was called to order at 9 a. m. by the Vice-President, Dr. William M. Sweet, of Philadelphia. Dr. Sweet said that he occupied the Chair in the absence of the President, Dr. John E. Weeks, who had been in the Orient, and was unable to secure steamer acconmiodations to return in time for the meeting. The Secretary received a letter from Dr. Weeks, which he asked to be read at the meeting : Yokohoma, Japaii, February 22, 1921. To the Members of the American Ophthalmological Society and their Guests: Your President sends hearty and sincere greetings and best wishes for a successful and enjoyable session. He regrets that, because of the inability to secure suitable accommoda- tions for the return trip from Japan in time to enable him to be at the place of meeting on June 14, he will not be able to attend. However, he is consoled, and his disappointment is partly compensated for, by the knowledge that his absence will not be detrimental to the Society as, because of his long experience as Secretary, the session will be much more ably presided over by our \'ice-President than it could be by him. Your President wishes to extend his sympathy to the mem- bers of the families of those of our number who have passed from this life since oiu' last meeting, and to acknowledge the loss to our Society of their fellowship and of theii' participa- tion in our scientific proceedings. He wishes to acknowledge to Dr. Lucien Howe the indebt- 23 24 Minutes of the Proceedings. edness of the Society to him for his excellent contribution to the inducements for original research on the part of the members of our Society, and to express his conviction that this feature of our endeavor should be extended. In conclusion, he would suggest that a change be made in the manner of the selection of the personnel of the Council. The number of the members of the Council and the term of service should remain as now, but he would suggest that the personnel be constituted of the ex-presidents of the Society, they becoming automatically members of the Council on ex- piration of the term as President. Respectfully, John E. Weeks. Before taking up the scientific business the Chair intro- duced Lieutenant-Colonel Hemy Smith, C.I.E., of London, England, and formerly of Amritsar, India, a guest of the Society. The following papers were read and discussed : 1. ''Some Features in the Technic of Trephining the Cornea for the Relief of Glaucoma." Frederick Tooke, M.D,, Montreal, Can. Discussed by Drs. Thomson, Lambert, Wilmer, Charles, Fisher, Andrews, Roller, Verhoeff, and Tooke. 2. "Repeated Operations for Glaucoma. Report of Case." Oscar Dodd, M.D., Evanston, III. 3. "Friability of the Iris a Factor in Iridectomy for Hyper- tension." Hiram Woods, M.D., Baltimore, Md. Papers Nos. 2 and 3 discussed by Drs. Knapp, Wilder, E. V. L. Brown, Dodd, and Lieutenant-Colonel Smith. 4. "The Action of Adrenalin on the Glaucomatous Eye." Arnold Knapp, jVI.D., New York. Discussed by Drs. Charles, Verhoeff, Derby, Schoenberg, E. V, L. Brown, and Knapp. 5. "The Physiologic Alode of Action of Mydriatics and Miotics, Explaining Their Effects in Hypertension (Glau- coma)." Carl Roller, M.D., New York. Minutes of the Proceedings. 25 Discussed by Drs. Duane, ^^erhoeff, Schoenberg, Clark, and Koller. 6. "After-Cataract." Henry Smith, CLE., Lieutenant- Colonel, I. M.S., London, England. Discussed by Drs. Lambert, Chance, Hollowaj^, deSchwei- nitz, Jackson, Burke, Wilder, G. Oram Ring, Dorland Smith, Thomson, Parker, Woodruff, and Lieutenant-Colonel Smith. 7. "Intracapsular Cataract Extraction by Traction Alone." Allen Greenwood, M.D., Boston, Mass. Discussed by Lieutenant-Colonel Smith, and Drs. Clark, Holloway, and Greenwood. The following, who were present at the meeting, were in- vited to be guests of the Society and take part in the dis- cussions: Lieutenant-Colonel Henry Smith, CLE., LALS., London; Drs. F. J. Ai'nold, Burlington, Vt.; S. Judd Beach and John W. Bowers, Portland, Me.; W. L. Benedict, Rochester, Minn.; W. H. Boiler, Iowa City, Iowa; E. F. Curran and James W. May, Kansas City, Mo. ; P. DeLong, Philadelphia; L. E. Elhott, IVIelrose, Mass.; C E. Ferree and G. Rand, Bryn Mawr, Pa.; Frederick Frisch, Atlantic City, N. J.; Wm. J. Holzer, Worcester, Mass.; E. W. Jones and Archibald H. Martin, Lynn, Mass.; C L. LaRue, Boulder, Col.; F. C Leavitt, Belmont, Mass.; Alexander L. Prince and George E. Tucker, Hartford, Conn.; Francis I. Proctor, David W. Wells and C F. Worthen, Boston; L. V. Stegman, Battle Creek, Mich. ; David A. Strickler, Denver, Col.; F, Jackie, Dunkirk, N. Y.; V. Wescott, Chicago, and H. W. Woodruff, Joliet, 111. TUESDAY AFTERNOON, JUNE 14TH. 8. "The Insertions of the Ocular Muscles as Seen in Text- Books and in the Dissecting Room." Lucien Howe, M.D., Buffalo, N. Y. 9. "The Action of the Obhques and the Bearing of Head- 26 Minutes of the Proceedings. Tilting in the Diagnosis of Paralysis." Alexander Duane, J\I.D., New York. Papers 8 and 9 discussed by Drs. Duane and Howe. 10. ''A Case of Intermittent Exophthalmos." W. Gordon M. Byers, M.D., Montreal, Can. Discussed by Dr. Posey. 11. '^ Double Jjuxation of the Eyeballs in a Case of Exoph- thalmic Goiter." Walter R. Parker, M.D., Detroit, Mich. Discussed by Drs. Langdon, Fisher, and Parker. 12. "Loss of Vision from Sympathetic Inflammation with Recovery Following the Use of Tubercuhn. ' ' Harry Frieden- wald, M.D., Baltimore, Md. Discussed by Dr. E. V. L. Brown. 13. "Loss of Vision in One Eye Restored by Pituitary Feeding in a Case of Compensatory Pituitary Hypertrophy." Edward Stieren, M.D., Pittsburgh, Pa. Discussed by Drs. de Schweinitz, Friedenwald, and Stieren. 14. "The Estimation of Compensation in Disability Re- sulting from Accidental Loss of Visual Acuit}^" E. Terry Smith, M.D., Hartford, Conn. Discussed by Drs. Prince, Tucker, Holt, and E. Terry Smith. 15. "An Unusual Case of Conjunctival Irritation." H. H. Briggs, M.D., Asheville, N. C. EXECUTIVE SESSION, JUNE 14TH. The meeting was called to order by the Vice-President, Dr. William M. Sweet. As the Minutes of the last meeting had appeared in full in the Transactions, a motion was made and carried that the reading of them be dispensed with. The Chair announced the following appointment : Audilinfj Committee: Dr. R. J. Curdy. The report of the Secretary-Treasurer was read. The Minutes of the Proceedings. 27 Auditing Committee certified to its correctness, and it was accepted and filed. In presenting the report the Secretary- Treasurer stated that, notwithstanding the continued high cost of paper and labor in the printing trade, the bill for the Transactions for last year was considerably less than for the previous year. The deficit in the treasury of the Society last year had been met by a loan, which has been considerably reduced. It was felt that after the present dispute between the printers and their employees shall have been adjusted, the cost of the Transactions this year would show a further decrease in cost. As there still remained, however, a deficit from last year, it was recommended that an assessment be made in addition to the regular annual dues. Dr. W. H. Wilmer, Chairman of the Committee on Theses, reported that six theses had been presented, of which number five were acceptable. Of these, two were from candidates who failed to write acceptable theses last year, but after consultation with them, they submitted theses this year that were satisfactory. Dr. C. F. Clark, Chairman of Council, presented the fol- lowing recommendations : 1. That the following named candidates be elected as Asso- ciate Members of the Societ}^: Dr. W. L. Benedict. Dr. Nelson M. Black. Dr. E. E. Holt, Jr. 2. That Section 8, Article 3, of the Constitution be so changed as to provide for a three years' term of office for members of the Committee on Theses. 3. That the Constitution be so amended as to provide for an emeritus membership as follows: Any active member on request may be transferred to the emeritus membership roll if in the judgment of the council said member is no longer able to comply with all the requirements of the Constitution and By-Laws of the Society. Emeritus members not to be required to pay dues, nor will they have a voice in the pro- ceedings of the Society. 28 Minutes of the Proceedings. 4. That the dues for 1921 be $10.00, and that an assessment of $10.00 additional be made on each member of the Society to apply on the deficit of the year. •5. The following named members are nominated for officers of the Society for the ensuing year : President: Dr. William M, Sweet. Vice-President: Dr. William H. Wilmer. Secretary and Treasurer: Dr. Thomas B, Holloway. Member of the American Board for Ophthalmic Examina- tions: Dr. William Zentmayer. Board of Governors, Aiyierican College of Surgeons: Dr. WiUiam H. Wilder, Dr. Alex. Quackenboss, and Dr. Hiram Woods. 6. Next place of meeting, Washington, D. C, at the time of the Congress of American Physicians and Surgeons, May, 1922. The names of other candidates for membership were re- ferred to the Council for 1922. Upon motion the report of the Council with recommenda- tions was adopted. As no objection was made to the three candidates recom- mended, the Chau- declared them elected Associate Members of the Society. The Secretary was directed to cast a ballot for the nomi- nees for officers, and they were declared elected. The report of the Committee on Prize Essays for the medal for research of the American Ophthalmological Society was read by the Secretary: At our last meeting a committee was appointed to perfect arrangements for the preparation and acceptance of the prize medal offeretl to the Society in 1919 by one of its mem- bers. That committee consisted of the donor, with our President and Secretary. On in(|uiry it was found that the incorjioration of the Ophthalmological Society, as provided by the donor, would probably prove inconvenient, as that might necessitate annual meetings in whichever State the in('()ri)oration was registered. Minutes of the Proceedings. 29 Therefore that point was waived by the donor. Another formahty yet to be compUed with is the accep- tance by resolution of the prize — that was omitted at the time, in spite of the expressions of approval and thanks which appear in the records of that meeting. The committee has agreed on a model for the prize. If a vote of acceptance is passed by the Society, this medal will be handed to the President now, to be awarded by the proper committee next year and the fifteen hundred dollars in liberty bonds will be deposited with the Metropolitan Trust Company of New York, or such other institution as the officers of the Society may prefer, to be used by the Society, without its incorporation, but otherwise in accord with the conditions mentioned by the donor. (Signed) Lucien Howe. 