History of the Injury.
—The patient was a practicing physician, aged 44 years, in good general health, and had never worn glasses. While riding a bicycle across his lawn at night, he ran into a blunt splicing hook of a clothes-line made of No. 10 telephone wire. The end of the hook entered the conjunctiva of the right eye, near the inner canthus, and tore its way out toward the external canthus, keeping below the cornea. The conjunctiva, subconjunctival tissue, and ocular muscle-tissue were extensively lacerated, and the end of the hook was found to be covered with blood, shreds of conjunctiva, subconjunctival tissue and fibers of muscle substance. The sclera was not perforated. The eye was dressed antiseptically and free boric acid irrigations were employed. Bleeding was quickly checked, and the wound healed kindly. However, there was immediate diplopia, which no prismatic combination tried by a local optician could