acter, cause, and progress, have enlisted the earnest attention of the most eminent oculists, especially during the last decade. The movement received its first impulse from a suggestion of Prof. Donders, made in 1864. It originated, therefore, at the very fountain-head of influence and authority in ophthalmology; for Donders was one of the three men who led in what is now styled "The Great Reformation," wrought some twenty-five years ago, in the treatment of defects and diseases of the eye. To illustrate the character of this change, Dr. Agnew, of New York, in his analysis of 1,065 cases of asthenopia (weak sight), thus describes the standard treatment for this disease only thirty years ago:
The suggestion of Prof. Donders is found in his work, "Accommodation and Refraction of the Eye," and is as follows:
About two years after this, Dr. Cohn, of Breslau, published the startling result of his investigations, which had taken the form of an inquiry into the effects of study on the eyesight. Similar investigations followed in various parts of Europe.
A like movement is progressing in this country, which was initiated by Dr. Cornelius R. Agnew, of New York. Under his auspices, examinations have been made in New York, Brooklyn, and Cincinnati. Dr. Edward G. Loring, Jr., and Dr. Peter A. Callan, of New York; Dr. Lucien Howe, of Buffalo; and Dr. Hasket Derby, of Boston, have reported investigations in the same direction.
In some of these investigations the suggestion of Donders has been literally followed; while in most of them the effect of several