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the revision thus made necessary the original form has been retained in every particular as far as possible, and while in a few instances such revisions have been made as were rendered necessary by the haste in which the original manuscript was prepared, the views and methods maintained in the original have been strictly preserved, without modification.

In order to introduce reproductions from photographs of some typical cases of neuroses in which the striking changes of physiognomy resulting from a relief to the tension of the eye-muscles in such cases is shown, the histories of these cases have been introduced. These histories, not in the original memoir, and obtained since its presentation to the Royal Academy, are indicated by brackets [ ], which in each instance permit them to be recognized as new material.

By an unfortunate occurrence, all the negatives from which these photograveurs were to have been made were destroyed by fire while the work was being executed. It then became necessary to reproduce the portraits from very indifferent prints. Under these discouraging circumstances the result, although quite different from what was at first hoped, has been much better than might have been expected.

The supplemental portion of the work has been added, not for the expert in ophthalmology, but for

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the general practitioner who would like to make such examinations of ocular conditions as will enable him intelligently to advise and to treat his patients affected with nervous complaints. That part of the supplement devoted to refraction and accommodation is made as comprehensive as possible consistent with brevity. In the treatment of muscular anomalies, much that is not to be found in the text-books on the affections of the eye is given. The subject has, in text-books, received but meager attention, quite insufficient to afford valuable assistance to one who would attempt the treatment of nervous complaints by removal of muscular defects. While the subject is treated here only in outline, it is hoped that the student of this subject will find here a better guide than has been elsewhere offered.

The author is indebted to the publishers for the skill with which the difficulties attending the reproduction of the portraits were overcome, and for the excellent manner in which they have presented the work.

33 West THIRTY-THIRD STREET,

New YORK, May, 1887.

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PAGE

Influence of Ocular Anomalies in causing Neuralgia.

68

Results from Relief of Ocular Conditions . . . .

Illustrative Cases . . . . . . .

70-76

General Propositions respecting Neuralgia . .

Table showing Neuralgic and Ocular Conditions

Summary of Table . . . .

Question of Heredity in Neuralgia . .

SPINAL IRRITATION AND NEURASTIENIA

Nearly Allied Forms of Neuroses . . . . .

Mimoses . . . . . . .

82

Pathology of Spinal Irritation not demonstrated . . . 82

Influence of Neuropathic Predisposition in Neurasthenia .
Illustrative Cases . . . . . . . . .

83-87

CHOREA . . . . . . . . . . . . 87-101

Bearing of some Characteristic Features on its Etiology and

Treatment . . . . . . . . .

Chorea among Hyperopic Children . . . . .

89

Dilatation of the Pupils in Chorea ...
Proportion of Ocular Anomalies in Cases of Chorea . .
Statements of Cure in Cases of Acute Chorea of Little Value
Results of Treatment in Chronic Cases Significant . .
Illustrative Cases . . . . . . . . .

93-100

Indications for Treatment of Chorea . . . .

101

EPILEPSY. . . . . . . . . . . . 101-120

No Pathology in Idiopathic Epilepsy ..

Existing Doctrines respecting the Etiology Unsatisfactory . 102

Heredity as Predisposing Cause . . . . . . 102

Nature of the Hereditary Tendency . . . . .

103

Ocular Conditions in Epilepsy . . . . . .

104

Results of Treatment of Ocular Defects in Epilepsy

106

Illustrative Cases . . . . . . . . . 107–120

MENTAL DISORDERS . . . . . . . . . 120-124

Recovery upon Relief of Ocular Conditions . . . . 121

Illustrative Cases . . . . . . . . .

121-124
Conditions of Eyes to be examined in Mental Disorders , 124

HEREDITY . . . . . . . . . . . 124-131

Construction of the Eyes constitutes an Important Element

in Heredity . . . . . . . .

124

The Eyes as a Part of the Facial Features . . . . 125

Excessive Demands upon the Nervous Energies from Dilli-

cult Adjustment of the Eyes . . . . . . 126

Similar Irritations do not always react in the Same Manner 126

Supposed Increase of Nervous Disorders in Modern Times . 127

History of Diseases in Neurotic Families . . . . 127

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