Fig. 241.—Ruete’s Ophthalmoscope.

Ruete’s ophthalmoscope is represented in Fig. [241]. The parts of the instrument are supported on a stand, C, and about the vertical axis of this the column, D, and the arms, H and K, can turn freely and independently; E is a concave metallic mirror, about 3 in. in diameter, and having an aperture in its centre through which the observer, B, looks. The arm, H, merely carries a black opaque screen, which serves to shield the eye of B from the light of the lamp, and to reduce, if required, the amount of light passing through the aperture in the mirror. The arm, K, which is about a foot in length, carries two uprights which slide along it, and in each of these slides a rod bearing a lens, which can thus be adjusted into any required position. The instrument is used in an apartment where all light but that of the lamp can be excluded. In the instrument just described an inverted image is obtained, which is sufficient for ordinary medical purposes, but this construction does not allow of the examination of retinal images, which is best performed with an instrument having a plane mirror.

The appearance presented by the back of the eye when viewed in the ophthalmoscope is represented in Fig. [242]. The retina appears red, except at the place where the optic nerve enters, which is white. On the reddish ground the retinal blood-vessels can be distinguished; A, A, A, branches of the retinal artery, have a brighter red colour, and more strongly reflect the light than the branches, B, B, B, of the retinal vein. Among these, and especially towards the margin, are seen, more or less distinctly, the broader vessels of the choroid. Above the optic nerve and a little to the right may be observed the fovea centralis.

Fig. 242.

During the last twenty years the ophthalmoscope has been the chief means of extending the knowledge of oculists regarding the diseased and healthy conditions of the eye. In this way the substance of the lens and the state of the humours can be directly seen, the causes of impaired vision can be discovered, and the nature of many maladies made out with certainty. This modern invention, by which the interesting spectacle of the interior of the living eye can be observed, has therefore been far from proving a barren triumph of science. Many insidious maladies can thus be detected, and may be successfully treated before the organ has become hopelessly diseased. In some cases the ophthalmoscope gives the most certain evidence of the existence of obscure and unsuspected diseases of other parts of the body.

VISUAL IMPRESSIONS.

Everybody knows that, however well the flat picture of an object may imitate the colours and forms of nature, we are never deceived into supposing that we have the real object before us. There must, therefore, be something different in the conditions under which we see real objects from those under which we view their pictures. The most favourable circumstances for receiving an illusive impression of solidity from a flat picture, is when we view it from a fixed position and with one eye. This is because one means by which we unconsciously estimate distances depends upon the changes in the perspective appearances of objects caused by changes in our point of view. In many cases these changes in the perspective are the only means we have of judging of the relative distances of objects. But there is another circumstance which is still more intimately connected with our perception of solidity. Each eye receives a slightly different image of the objects before us (unless these be extremely remote), inasmuch as they are viewed from a different point. When the objects are very near, the two retinal images may differ considerably, as the reader may convince himself by viewing with each eye, alternately, objects immediately before him, while the other eye is closed, and the head all the while motionless. The nearer objects will plainly appear to shift their positions as seen against the back-ground of the more distant objects; and a somewhat more careful observation will reveal changes of perspective, or apparent form, in every one of these objects. An extreme case is presented in that of a playing card, or thin book, held in the plane which divides the eyes. The back or the face, the one side or the other, will be seen, according as the right or the left eye is opened. If we close the left eye, the displacement and change of apparent form produced by a slight movement of the head are sufficiently obvious; a movement of the head 2½ in. to the left causes a decided change in the relative positions of adjacent objects. It is plain, however, that it is precisely from a point 2½ in. to the left that the left eye views these objects, and hence the perspective appearance seen by the left eye must have the difference due to this shifting of the point of view.

On the other hand, if one looks at a picture, or flat surface, placed immediately in front, no change in the relative positions of its parts is discernible by viewing it with either eye alternately. Not but that there is a difference in the retinal images in the two cases, but there is an absence of any point of comparison by which the change may be judged. If we take a photograph of a statue, it will, when viewed by one or the other eye, present the difference of the retinal images which is due to a flat surface; the parts of the photographic image will be of slightly different proportions as seen by each eye. If, instead of the photograph we have before our eyes a statuette, each eye will see a quite different view: the right eye will see a portion which is invisible to the left eye, and vice versâ, and, in fact, we shall see more than half round the object. Here, then, we have certain differences of the retinal pictures when solid objects are viewed, and these differences by innumerable repetitions have, unconsciously to ourselves, become associated with notions of solidity, of something having length, breadth, and depth, or thickness. The marvellous delicacy of these perceptions will be alluded to hereafter.

Let us suppose that the lenses of two cameras are fixed in the positions occupied by the two eyes, and that a photograph is taken in each camera, the subject being, for example, a statuette. It is obvious that the differences of the two photographs would correspond with the differences of the two retinal images, and that, if a person could view with the right eye only the photograph taken in the right-hand camera, and with the left eye the left-hand photograph only, there would be formed on the retinæ of his eyes images very nearly corresponding with those which the actual object would produce, and the result would be, if these retinal pictures occupied the proper position on the eyes, that the impression of solidity would be produced, which is called the stereoscopic effect.