6 s. HOL I II AND O. BERNER. M.-N. Kl. 



fissures were oilanjrd (sonic cxophllKihtms)) thirs fact shows tliat the cer- 

 vical sympathetic nerve functions well. After the atropinisation, the patient's 

 headaches disappeared, hut in the course of a few weeks the atropine caused 

 conjunctivitis. I then prescribed scopolamine 0.2 per cent for instillation 

 every morning, which did no harm to the conjunctiva. She has continued 

 this treatment without interruption for the last 24 years; if the instillation 

 is omitted a single morning she has her old headache later in the day, 

 whilst at the same time the refraction increases, though not to the same 

 degree as in her youth. The static refraction under mydriasis is also 

 lower than in her youth; the degree of myopia has decreased. Thus 1 







Fig. 2. 

 The pupils of Ingeborg B. on Oct. 8th 1897 after instillation of atropine i per cent thrice 



a clay for four days. 



found the following refractions on October "zy^ 1919» ^t ^i a.m., after 

 the usual instillation of scopolamine at her home three hours previousl}'^ : 



Right eye: 90° cyl. — 0.75 ~ sph. — 1.5 V =^/5. 



Left eye: 60° cyl. -^0.75 O sph — 0.75 V = ^/4. 



On February 231"^ 1921 I showed the patient to my colleagues in the 

 Medical Society in Christiania (Lit. 6); to show the difference in the pupils 

 without the slight mydriasis and with it, 1 told the patient to omit the instil- 

 lation of scopolamine in the right eye for a whole week beforehand. The 

 refraction of the right eye on February 231'^ was: 90° cyl. — 0.75 ~ sph. — 

 4.0 V = ^/ß. After resuming the scopolamine application the spherical 

 correction, as in 1919 was — 1.5 and V -^ %. During the week, when 

 the right eye was iviiJiout scoiwlamine the patient again had her former 

 dull i)ains in and over the eye and at the back of her head — but on 

 the riglit side only. The scopolamine application, which in 1897 like the 

 atropine effected a diameter of the pupils of 2.5 mm. (Fig 2I, now caused a 

 diameter of somewhat more than i mm. only (Fig. 3); the application of 

 an atropine crystal in addition to the scopolamine drop could not further 

 dilate the pupil. 



