Atropine Fails to Paralyze Accommodation 71
the left or better eye amounting to three diopters. When atropine was instilled into this eye the hypermetropia was increased to four and a half diopters, and the vision lowered to 20/200. With a convex glass of four and a half diopters the patient obtained normal vision for the distance, and with the addition of another convex glass of four diopters he was able to read diamond type at ten inches (best). The atropine was used for a year, the pupil being dilated continually to the maximum. Mean time the right eye was being treated by methods to be described later. Usually in such cases the eye which is not being specifically treated improves to some extent with the others, but in this case it did not. At the end of the year the vision of the right eye had become nor mal; but that of the left eye remained precisely what it was at the beginning, being still 20/200 without glasses for the distance, while reading without glasses was im possible and the degree of the hypermetropia had not changed. Still under the influence of the atropine and still with the pupil dilated to the maximum, this eye was now treated separately; and in half an hour its vision had become normal both for the distance and the near-point, diamond type being read at six inches, all without glasses. According to the accepted theories, the ciliary muscle of this eye must not only have been completely paralyzed at the time, but must have been in a state of complete paralysis for a year. Yet the eye not only overcame four and a half diopters of hypermetropia, but added six diopters of accommodation, making a total of ten and a half. It remains for those who adhere to the accepted theories to say how such facts can be reconciled with them.
Equally, if not more remarkable, was the case of a