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EYEBALL: ABOUT ARGYLL-ROBERTSON PUPIL AND MORE
In certain conditions, such as syphilis of the nervous system, there is a phenomenon known as Argyll-Robertson pupil: the pupil will contract as an object approaches it, but will not do so when a bright light shines upon it. A generation or so ago these actions of the iris made the front pages of newspapers. Harry Thaw, a rich playboy, was being tried for murder. The defense was insanity, which not infrequently in those days was caused by syphilis. District Attorney Jerome, of the family from which Winston Churchill, through his American mother, got a goodly part of his ability, sought to discredit the defense psychiatrist, who was, in the language of the present day, a four-flusher. He asked him if Argyll-Robertson was one man or two. The answer was really of little importance, but the witness, instead of admitting that he did not know, foolishly guessed two. This mistake of the psychiatrist served to raise the name of a Scotch physician from comparative obscurity to considerable fame, as well as to show how, in the anfractuosities of the law, a reaction of the eye may become important, legally.
In both a camera and an eye the entering rays of light pass through a lens which focuses them on the back wall. The lens of the eye is enclosed in an elastic capsule. As this is tightened or loosened by muscles, the shape of the lens changes according to the distance from the object looked at. This adjustment is known as accommodation and in the normal eye it allows one to see clearly either near or far. Unfortunately many eyes are not normal. The most common difficulty is that the front to back dimension of the eyeball is either too short or too long, so the light rays cannot be focused accurately on the back wall. Then the direction of the light rays has to be changed before they enter the eye. This is done by spectacles.
So far, so good; but elderly people do not need to be reminded that the spectacles which did a perfect job for them at twenty-one are not at all what they need at sixty-one. There are two principal reasons: change in the shape of the eyeball, due mostly to the pull of the muscles attached to it, and also changes in the shape of the lens. At any rate, persons who have been very nearsighted in early life may find that they may dispense with their glasses in later years, while we who started clear sightedly forth in our youth find ourselves baffled by the obscurities of the telephone book.
A good lens is crystal clear, but unfortunately opacities sometimes occur, forming the well-known cataracts. My medical dictionary has eleven inches of fine print listing the different varieties. The least displeasing to me is the “incipient cataract . . . sometimes remaining unchanged for years.”
*58/276/5*

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