Below A is seen a small conical elevation, with black dots (the lacrymal papilla or caruncle).

Glasses should be worn when they are needed. A failure to do this ususally causes much unnecessary suffering. It is far from wise to postpone as long as possible the first use of glasses. The selection and proper fitting of glasses call for the combined skill of both the physician and the optician. Obstinate headaches are often caused by defective vision, and may disappear after discontinuing improper glasses.

The habit of reading, in the cars or elsewhere, the daily paper and poorly printed books, with their blurred and indistinct type, is a severe strain on the accommodation apparatus of the eyes. It is a dangerous practice to read in bed at night, or while lying down in a darkened or shaded room. This is especially true during recovery from illness. The muscles of the eyes undergo excessive strain in accommodating themselves to the unnatural position. The battered type, wood-pulp paper, and poor presswork, now so commonly used in the cheap editions of books and periodicals, are often injurious to the eyesight.

Reading-matter should not be held nearer to the eyes than is necessary to make the print appear perfectly sharp and distinct. No print should be read continuously that cannot be seen clearly at about eighteen inches. Those who read music are especially liable to strain the eyes, because exact vision is required to follow the notes. Persons who wear glasses for reading should be careful to use them while reading music, and good light is necessary to avoid any undue strain.

After reading steadily for some time, the eyes should be rested by closing them a short period or by looking at some distant object, even if only for a few moments. The book, the sewing, and work generally, should be held as far from the eyes as is compatible with good vision. The natural tendency is to reverse this rule. We should never read, write, sew, stitch, or otherwise use the eyes when they smart or tingle, or when the sight is dim or blurred. The eyes are then tired and need a rest. Much injury may be done by reading in twilight, or by artificial light in the early morning, and by reading and working in badly lighted and ill-ventilated rooms.

Good artificial light is much to be preferred to insufficient sunlight. The artificial light should be sufficiently bright and steady; a fickering light is always bad. Riding against a strong wind, especially on a bicycle, may prove hurtful, at least for eyes that are inclined to any kind of inflammation. The light reflected from snow is a common source of injury to the eyes. It is a wise caution in passing from a dark room to avoid looking immediately at the sun, an incandescent light, the glistening snow, or other bright objects.

The eyes should never be rubbed, or the fingers thrust into them,[[46]] and much less when they are irritated by any foreign substance. The sooner the offending substance is removed the better.