o the
normal. In acute glaucoma such massage is not available, but it is of
assistance in encouraging a reduction of the intra-ocular tension and
keeping it at a normal grade after operative work, particularly after a
filtering cicatrix has been made, as was well shown by Weeks in his
study of glaucomatous eyes operated upon by the Lagrange method. It is
interesting to remember that Paul Knapp, in the course of this
investigation, observed reduction of the tension after the use of
holocain.

Another method of reducing the intra-ocular tension is by the suction
method, which consists in the use of certain cups from which the air is
exhausted by means of a suction apparatus. Domec uses an elliptical eye
cup, the concave margins of which fit closely about the globe. The air
is exhausted with each respiration of the patient and from 50 to 200
tractions are made at each sitting. Domec is of the opinion that this
method succeeds in two ways, namely, in producing analgesia by traction
on the ciliary nerves, and in reducing intra-ocular tension.

Unfortunately, it is difficult for regular physicians to make reference
to massage of the eyeball lest their words should be misquoted by
irregular practitioners who employ this method, selling various
instruments to trusting patients, and attributing to this simple and
often beneficial procedure all sorts of marvelous influences. Doubtless
all of us have seen eyes utterly ruined because the patient has trusted
to the advertisements of these people, and has continued to use some
foolish little suction pump, when what his eye needed was operative
procedure or skilled therapeutics.

If I should sum up my opinion of massage in the reduction of
intra-ocular tension, I would say that it is useful in enhancing the
action of myotics, and particularly useful, as Domec, Knapp, Ohm, Weeks
and many others have shown, after the filtering angle has been opened by
a proper operative procedure. It seems to me that it is distinctly our
duty to inform patients that it is no panacea, and that they must never
trust themselves in the hands of irregular practitioners who pretend to
cure all ocular ills with massage.

_Electricity._ The credit of first using high frequency currents in the
treatment of glaucoma belongs to Truc, Imbert and Marques, and Roure's
experiments indicate that this current suitably applied appears to have
an influence not only in reducing the arterial tension, but also the
ocula