RT Journal A1 Cloud M T1 REfraction JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1909 FD April 24 VO LII IS 17 SP 1347 OP 1347 DO 10.1001/jama.1909.02540430043014 UL http://dx.doi.org/10.1001/jama.1909.02540430043014 AB To the Editor:  —"Say nothing but good of the dead" is good advice; yet i feel that the article by the late Dr. St. John Roosa (The Journal, Feb. 13, 1909, p. 543) should be criticized.I do not think that Dr. St. John Roosa was right when he said: "An eye with a moderate degree of hypermetropia without corneal astigmatism, other conditions being favorable, will do its work in a thoroughly satisfactory manner." I often have patients with moderate hypermetropia, without any corneal astigmatism, in whom the general health is good and who yet suffer from severe and intolerable headaches. I recently had as a patient a dental student who had one diopter of hypermetropia without any corneal astigmatism and who was in good health, but suffered from constant headaches that interfered with his work. He was entirely relieved of his headaches by plus 0.75 spheres for each eye.