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Hail and Farewell
VOL. 72, NO. 2
491
IN MEMORIAM
He combined his interests in his final contri bution, relating the history of photography in ophthalmology (Surv. Ophth. 1970). Dr. Mann served as secretary-treasurer of the Ophthalmic Publishing Company from 1948 until his death. When he first took office the circulation of the JOURNAL was 4,000 and he saw it grow to more than 13,000. He also participated in the transition of the JOURNAL from a small enterprise managed principally in the office of its editor to an independent publishing group. In reviewing Bill Mann's career, one is impressed by the number of successful en terprises with which he was associated: the training of nearly 100 ophthalmologists in residency programs he established at Wesley and Hines; the remarkable growth of the Hadley School for the Blind, where Bill served on the executive committee for many years; the extraordinary work done with rehabilitation of the blind at Hines Veterans Hospital; and the development of ophthal mology at Northwestern University. He was a member of numerous organiza tions: American Medical Association, Illi nois State Medical Society, Chicago Medical Society, American Ophthalmological Soci ety, American Academy of Ophthalmology and Otolaryngology, Association for Re search in Vision and Ophthalmology, Ameri can Association of Ophthalmology, Oxford Ophthalmological Congress, and American Society of Ophthalmology and Chicago Oph thalmological Society (President, 1946-47). He served as a member of the revision com mittee and as chairman of the panel on oph thalmology of the U.S. Pharmacopia from 1950 to 1960, and on the panel of ophthal mology from 1960 to 1965. He was a Congregationalist and a Knight Templar. No description of Bill Mann's life would be complete without mention of the major role of his wife. They met at Northwestern University in 1928 where she worked in the social service department. In 1931, they were married, and since then she has played an ac
tive role in the things in which Bill was in terested. Mrs. Mann is active in the Women's Board of Wesley Hospital, North western University, and served as a trustee with him at the Hadley School for the Blind. She entertained his friends, colleagues, and residents at a sumptuous home in suburban Wilmette, and later, in their apartment over looking Lake Michigan in Chicago. She trav eled with him on his professional journeys and they were going to celebrate their 40th wedding anniversary at the Homestead dur ing the meeting of the American Ophthalmo logical Society. Chancellor Roscoe J. Miller of North western University, a friend of Bill's since the time both were members of the faculty in medical school, stated in his eulogy, "Great ness is a quality that is measured by the im pact a man creates on his family, his peers, his associates. Greatness in a man is found in the quality of his life, whether he be re nown or unknown, popular or unsung, rich or poor, and the quality of a man's life is measured by the ways in which he comes to terms with life as that life unfolds itself to him." The JOURNAL and its staff extend to Mrs. Mann, their three children, and seven grand children, their sincerest sympathies. We shall miss him greatly. Frank W. Newell H A I L AND FAREWELL
The executive family of the American Journal of Ophthalmology has sufifered a grievous blow in the loss of William A. Mann. For 25 years as secretary-treasurer of the Ophthalmic Publishing Company, the parent of the JOURNAL, Bill had always given sound advice in the exercise of his calm judgement and great common sense. He was a good balance wheel, controlling my impulsive nature and quick decisions that might have been harmful. I am grateful for this.
492
AMERICAN JOURNAL OF OPHTHALMOLOGY
Bill had an unusually sweet nature and this endeared him to a very large number of fast friends. He had great integrity and hon esty. I shall miss him and will always cherish his loyal friendship. Derrick Vail CORRESPONDENCE GONIOSCOPIC EVALUATION OF THE NARROW ANGLE
Editor, American Journal of Ophthalmology: I found Dr. Gorin's article, Re-evalua tion of gonioscopic findings in angle-closure glaucoma: Static versus manipulative gonioscopy (Am. J. Ophth. 71:894, 1971) of particular interest, as the gonioscopic evalua tion of the narrow angle has been an area of considerable interest to me. Because many of my observations relate directly to this sub ject and differ somewhat from his, I would like to make a few hopefully clarifying points: 1. Dr. Gorin states that static gonioscopy (applying the prism centrally to the eye without manipulation) elicits the "true state of narrowness of the angle." I do not believe this statement to be correct. Regardless which gonioprism is used (and the view of the angle will differ as it is dependent on which gonioprism one chances to use), the moment the gonioprism is applied to the eye inadvertant distortion—and therefore, inadvertant manipulation—occurs with alter ation of the anatomic relationships and ap pearance of the angle. This has been de scribed previously1 and has been verified photographically.2 2. It has been well established that gross manipulation of the prism with pressure causes alteration in the normal anatomic re lationships in the angle.3 The more subtle and inadvertant distortion that occurs in the angle with manipulation of the prism, as oc curs with sliding of the prism, has likewise
AUGUST, 1971
been elucidated,4 and it is indeed comforting that other gonioscopists such as Dr. Gorin are now recognizing and confirming these earlier observations. I am always in favor of coining new terms when they add to our insight and under standing of a subject; however, I believe that all gonioscopy as presently performed re sults in distortion of the cornea and angle and therefore the words "static versus ma nipulative" has little meaning. Stanley C. Becker St. Louis, Missouri REFERENCES
1. Becker, S. C.: Critique of Gonioscopy, Cur rent Concepts in Ophthalmology, vol. 2. St. Louis, Mosby, 1969, p. 19S. 2. Becker, S. C.: The gonioprism as a cause of misdiagnosis in glaucoma. Glaucoma Symposium, Association for Research in Vision and Ophthal mology. Las Vegas, The National Society for the Prevention of Blindness, 1970. 3. Forbes, M.: Gonioscopy with corneal indenta tion. Arch. Ophth. 76:488, 1966. 4. Becker, S. C.: Unrecognized errors induced by present-day gonioprisms and a proposal for their elimination. Arch. Ophth. 82:160, 1969. REPLY TO DR. BECKER
Editor, American Journal of Ophthalmology: Dr. Becker seems to have overlooked the main purpose of my paper. Teaching gonioscopy for the past 20 years, I have become concerned recently by the practice of undue manipulation of the gonioscopic lens leading to misjudgment of the narrowness of the angle. I was not inter ested in coining new terms. I used the term "static gonioscopy" as opposed to manipula tive gonioscopy merely to emphasize the two different aspects of gonioscopy. My paper had two main objectives: 1. To warn against undue manipulation in reaching a diagnosis of angle-closure glau coma 2. To indicate that proper manipulation may assist in estimating the extent of synechial closure.
491
IN MEMORIAM
He combined his interests in his final contri bution, relating the history of photography in ophthalmology (Surv. Ophth. 1970). Dr. Mann served as secretary-treasurer of the Ophthalmic Publishing Company from 1948 until his death. When he first took office the circulation of the JOURNAL was 4,000 and he saw it grow to more than 13,000. He also participated in the transition of the JOURNAL from a small enterprise managed principally in the office of its editor to an independent publishing group. In reviewing Bill Mann's career, one is impressed by the number of successful en terprises with which he was associated: the training of nearly 100 ophthalmologists in residency programs he established at Wesley and Hines; the remarkable growth of the Hadley School for the Blind, where Bill served on the executive committee for many years; the extraordinary work done with rehabilitation of the blind at Hines Veterans Hospital; and the development of ophthal mology at Northwestern University. He was a member of numerous organiza tions: American Medical Association, Illi nois State Medical Society, Chicago Medical Society, American Ophthalmological Soci ety, American Academy of Ophthalmology and Otolaryngology, Association for Re search in Vision and Ophthalmology, Ameri can Association of Ophthalmology, Oxford Ophthalmological Congress, and American Society of Ophthalmology and Chicago Oph thalmological Society (President, 1946-47). He served as a member of the revision com mittee and as chairman of the panel on oph thalmology of the U.S. Pharmacopia from 1950 to 1960, and on the panel of ophthal mology from 1960 to 1965. He was a Congregationalist and a Knight Templar. No description of Bill Mann's life would be complete without mention of the major role of his wife. They met at Northwestern University in 1928 where she worked in the social service department. In 1931, they were married, and since then she has played an ac
tive role in the things in which Bill was in terested. Mrs. Mann is active in the Women's Board of Wesley Hospital, North western University, and served as a trustee with him at the Hadley School for the Blind. She entertained his friends, colleagues, and residents at a sumptuous home in suburban Wilmette, and later, in their apartment over looking Lake Michigan in Chicago. She trav eled with him on his professional journeys and they were going to celebrate their 40th wedding anniversary at the Homestead dur ing the meeting of the American Ophthalmo logical Society. Chancellor Roscoe J. Miller of North western University, a friend of Bill's since the time both were members of the faculty in medical school, stated in his eulogy, "Great ness is a quality that is measured by the im pact a man creates on his family, his peers, his associates. Greatness in a man is found in the quality of his life, whether he be re nown or unknown, popular or unsung, rich or poor, and the quality of a man's life is measured by the ways in which he comes to terms with life as that life unfolds itself to him." The JOURNAL and its staff extend to Mrs. Mann, their three children, and seven grand children, their sincerest sympathies. We shall miss him greatly. Frank W. Newell H A I L AND FAREWELL
The executive family of the American Journal of Ophthalmology has sufifered a grievous blow in the loss of William A. Mann. For 25 years as secretary-treasurer of the Ophthalmic Publishing Company, the parent of the JOURNAL, Bill had always given sound advice in the exercise of his calm judgement and great common sense. He was a good balance wheel, controlling my impulsive nature and quick decisions that might have been harmful. I am grateful for this.
492
AMERICAN JOURNAL OF OPHTHALMOLOGY
Bill had an unusually sweet nature and this endeared him to a very large number of fast friends. He had great integrity and hon esty. I shall miss him and will always cherish his loyal friendship. Derrick Vail CORRESPONDENCE GONIOSCOPIC EVALUATION OF THE NARROW ANGLE
Editor, American Journal of Ophthalmology: I found Dr. Gorin's article, Re-evalua tion of gonioscopic findings in angle-closure glaucoma: Static versus manipulative gonioscopy (Am. J. Ophth. 71:894, 1971) of particular interest, as the gonioscopic evalua tion of the narrow angle has been an area of considerable interest to me. Because many of my observations relate directly to this sub ject and differ somewhat from his, I would like to make a few hopefully clarifying points: 1. Dr. Gorin states that static gonioscopy (applying the prism centrally to the eye without manipulation) elicits the "true state of narrowness of the angle." I do not believe this statement to be correct. Regardless which gonioprism is used (and the view of the angle will differ as it is dependent on which gonioprism one chances to use), the moment the gonioprism is applied to the eye inadvertant distortion—and therefore, inadvertant manipulation—occurs with alter ation of the anatomic relationships and ap pearance of the angle. This has been de scribed previously1 and has been verified photographically.2 2. It has been well established that gross manipulation of the prism with pressure causes alteration in the normal anatomic re lationships in the angle.3 The more subtle and inadvertant distortion that occurs in the angle with manipulation of the prism, as oc curs with sliding of the prism, has likewise
AUGUST, 1971
been elucidated,4 and it is indeed comforting that other gonioscopists such as Dr. Gorin are now recognizing and confirming these earlier observations. I am always in favor of coining new terms when they add to our insight and under standing of a subject; however, I believe that all gonioscopy as presently performed re sults in distortion of the cornea and angle and therefore the words "static versus ma nipulative" has little meaning. Stanley C. Becker St. Louis, Missouri REFERENCES
1. Becker, S. C.: Critique of Gonioscopy, Cur rent Concepts in Ophthalmology, vol. 2. St. Louis, Mosby, 1969, p. 19S. 2. Becker, S. C.: The gonioprism as a cause of misdiagnosis in glaucoma. Glaucoma Symposium, Association for Research in Vision and Ophthal mology. Las Vegas, The National Society for the Prevention of Blindness, 1970. 3. Forbes, M.: Gonioscopy with corneal indenta tion. Arch. Ophth. 76:488, 1966. 4. Becker, S. C.: Unrecognized errors induced by present-day gonioprisms and a proposal for their elimination. Arch. Ophth. 82:160, 1969. REPLY TO DR. BECKER
Editor, American Journal of Ophthalmology: Dr. Becker seems to have overlooked the main purpose of my paper. Teaching gonioscopy for the past 20 years, I have become concerned recently by the practice of undue manipulation of the gonioscopic lens leading to misjudgment of the narrowness of the angle. I was not inter ested in coining new terms. I used the term "static gonioscopy" as opposed to manipula tive gonioscopy merely to emphasize the two different aspects of gonioscopy. My paper had two main objectives: 1. To warn against undue manipulation in reaching a diagnosis of angle-closure glau coma 2. To indicate that proper manipulation may assist in estimating the extent of synechial closure.