telmez reported on "Congenital ocular ab normalities produced experimentally by nitrogen mustard." A. E. Maumenee showed a motion picture of his technique in surgical removal of epithelial downgrowth from the anterior chamber. Stewart Wolff and How ard Naquin presented a case of epithelial downgrowth in which X-ray therapy eradi cated all surface epithelium within the eye. The meeting was brought to a close in a delightful fashion by one of the annual features—the neuro-ophthalmological clinic by Frank Walsh. As usual, a most instruc tive and entertaining group of cases was pre sented. On Friday evening all members and guests were invited to an informal dinner dance at the Lord Baltimore Hotel. Immediately fol lowing dinner, the resident staff of the Wilmer Institute put on their completely imaginary version of the experiences of a patient being cared for by the visiting staff of the Wilmer Institute. The great creative and musical ability of the group made it apparent to all present that there would be a bright future for them—in show busi ness, if not in ophthalmology. Howard A. Naquin.
or a suitable local anesthetic, a lid elevator is placed under the upper lid and the lid elevated. Simultaneously the patient looks down and out. The procedure is only mod erately uncomfortable with a co-operative patient. Normal individuals may have one to threemm. adhesions. This was true in over 50 per cent of adults who had no history of eye dis ease and who were not suffering from severe conjunctival inflammation. Small follicles or papillas could almost always be found in asymptomatic individuals. Over 90 percent of patients with pterygium, observed over a four-year period, were found to have sym blepharon extending from the upper inner aspect of the fornix to the corneal position of the pterygium. Less frequently could be demonstrated smaller symblepharon arising in the inferior medial fornix. The sym blepharon is usually solitary. Occasionally widespread symblepharon could be found in pterygium but this was too infrequent an occurrence to be considered significant. In postoperative cases, where success had been attained, the symblepharon did not ex tend to the cornea. ( Signed) Edward O. Bierman, Santa Monica, California.
CORRESPONDENCE SYMBLEPHARON IN PTERYGIUM
American Journal of Ophthalmology: It is hoped that this observation may be worth printing. No reference to it has been found in the contemporary literature. It does not seem to be widely known at any rate.
Daniel B. Kirby, M.D. Philadelphia, J. B. Lippincott Company, 1955. 254 pages, 138 figures and 22 plates in color. Bibliogra phy, index. Price: $27.50. This handsomely printed and illustrated book represents the last say of Daniel B. Kirby on the important matter of cataract surgery. We are grateful to Walter J. Mäher, M.D., and his skill in assembling and organizing the manuscript left by Dr. Kirby at his death on December 27, 1953. Fortu nately the manuscript and the collection of illustrations and plates had been completed and what we have is pure Kirby at its best. Evidently, the author meant to have this
Symblepharon is considered a sign of conjunctival disease. It has been noted that symblepharon is present in a very high per centage of patients with pterygium. Its pres ence indicates that pterygium is a more wide spread conjunctival disease than previously believed. In examining for the condition, the con junctival sac is anesthetized with pontocaine