Accommodation Unaffected by Atropine 235
ginning the patient had been unable to read with it at all, even with glasses, she now read diamond type with out glasses at six inches.
On August 16, 1916, the patient had an attack of infan tile paralysis which was then epidemic. The sight of both eyes failed, the muscles that turned the eyes in and out were paralyzed, the eyelids twitched, and there was double vision. Various muscles of the head, the left leg and the left arm were also paralzyed. When she left the hospital after five weeks the left eye was turned in, and the vision of both eyes was so poor that she was unable to recognize her mother. Later she developed alternate convergent squint. On November 2 the paralysis in the right eye subsided, and four weeks later that of the left eye began to improve. On November 9 she returned for treatment without any conspicuous squint, but still suf fering from double vision, with the images sometimes on the same side and sometimes on opposite sides. On No vember 23 the eyes were straight and the vision normal.
On July 11, 1918, the eyes were still straight and the vision normal, and there was binocular single vision at six inches. Although atropine had been used in the right eye every day for more than a year, and intermittently for a much longer time, and the pupil was dilated to the maximum, it read fine print without difficulty at six inches, central fixation overcoming the paralyzing effect of the drug. According to the current theory the accom modation should have been completely paralyzed, making near vision quite impossible. The patient also read fine print with the left eye as well as, or better than, with the right eye.