Mrs. M. L. P., aged forty-eight years, first applied to me...

The Keystone Magazine of Optometry

Mrs. M. L. P., aged forty-eight years, first applied to me in March, 1900. I found her wearing + .5 cylinders with the addition of + 1 D for presbyopia. Her acuteness of vision was O. D. 20/40 and O. S. 20/60, which was raised to normal by + .75 cylinders. She was able to read with some effort, but the near point had receded to ten inches. This was restored to the normal distance and reading made comfortable by the addition of + 1.25 spheres.

Something more than two years later, in June, 1902, she returned for a change of glasses. I found that all that was necessary was a slight increase in the cylinders and spheres to afford normal vision and supplement the impaired accommodation. This is nothing more or less than a case of hypermetropic astigmatism complicated with presbyopia, such as we meet with every day. It differs in no respect from similar cases.

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