868
NOTES, CASES, INSTRUMENTS
distances, permitting a comfortable optimum setting for each individual. 4. It is collapsible and folds into a compact...
distances, permitting a comfortable optimum setting for each individual. 4. It is collapsible and folds into a compact unit, is light and easily transported, 5. It lends itself to a wide choice of reading material. In young children any book can be used and older children can use their regular school text books. Homework and exer-
cises can be combined in one procedure. The instrument may either be used on a table or held in the hand. Disturbances in accommodation can be treated with the usual plus and minus lenses with the addition of a clip-on trial frame. The patient's eyes can be easily observed at all times. 210 East 64th Street (21).
A CHALAZION PUNCH* ALAN DAVIDSON,
M.D.
New Bern, North Carolina
Since 1956 I have been using a specially made Holth punch in chalazion surgery. This adaptation of the Holth punch has a narrow, tapered cutting area two mm. by six mm. I felt the need for this when I found that frequently incision and curettage alone resulted in small fragments of granulomatous tissue remaining which became in fectious granulomas. Chalazion trephines became dull so quickly that I discarded them and I have found this Holth punch very satisfactory. It has been used in approximately 500 chalazion operations and, insofar as I can tell, is as sharp as it ever was, despite repeated sterilizations both by soaking in wet solutions and by dry sterilization. It is also used for marginal chalazions which can often be technically diffi cult to manage. P. 0. Box 1313. * Manufactured by V. Mueller & Company, Chicago, Illlinois.
OPHTHALMIC MINIATURE
If paralysis of the orbicularis for the necessary length of time is ever accomplished, it will have to be by means of a drug which acts on the motor nerve endings when injected into the muscle. There is one drug which will do this—curare—but I have never dared to experiment with such a lethal weapon. The Treatment of Cataract, By Lt. Col. Henry Smith, Calcutta, Butterworth & Co., 1928, p. 92.