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January 21, 1905


Author Affiliations


JAMA. 1905;XLIV(3):186-190. doi:10.1001/jama.1905.92500300018001e

When I began practice I did as I had been taught regarding the correction of presbyopia. Text-books, teachers, and general custom agreed that presbyopia began sometime after forty, and that no mydriatic was needed in such patients. There was a rough rule wandering about that plus spherical lenses of one diopter were needed in forty-five-year-old patients, twos at fifty, threes at sixty. This was about the time of the "Punch, Brother, Punch with care, a blue slip ticket for a five-cent fare, etc." Actual dealing with presbyopic patients soon brought me up sharp. Rules like those of the street car conductors would not work out in the oculist's office. If any rules at all were admissible they had to be of a different kind from those of the text-books; in some ways far more definite, in others more indefinite. Some of these cautions

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