Scientific American Supplement No. 822, October 3, 1891

by Various

Six horses were also examined, of which one had normal sight, three were hypermetropic and astigmatic, and two had a slight degree of astigmatism. They also examined other animals, and the same proportion of hypermetropia existed. These gentlemen found that as an optical instrument the eye of the horse, cow, cat and rabbit is superior to that of the rat, mouse and guinea pig.

I have for the last five years devoted considerable attention to the vision of the Indian children who are pupils at two institutions in this city. I have at various times made careful records of each individual pupil and have from time to time compared them. Up to the present there is a growing tendency toward myopia or short sightedness, i.e., more pupils from year to year require near sighted glasses. The natural condition of their eyes is far sighted and the demands upon them are producing many nervous or reflex symptoms, pain over the frontal region and headaches. A good illustration of the latter trouble is showing itself in a young Indian boy, who is at present undergoing an examination of his vision as a probable cause for his headaches. This boy is studying music; one year ago he practiced two hours daily on the piano and studied from three to five hours besides. This year his work has been increased; he is now troubled with severe headaches, and after continued near work for some time letters become blurred and run together. This boy is far sighted and astigmatic; glasses will correct his defect, and it will be interesting to note whether his eyes will eventually grow into near sighted ones. I have several cases where the defective vision has been due entirely to other causes, such as inflammation of the cornea, weakening this part of the eye, and the effect in trying to see producing an elongation of the anterior portion of the eyeball, and this in turn producing myopia. The eye of the Indian does not differ materially from that of any deeply pigmented race. The eyeball is smaller than in the Caucasian, but when we examine the interior we find the same distribution of the blood vessels and same shape of the optic nerves. The pigment deposit in the choroid is excessive and gives, as a background to the retina, a beautiful silvery sheen when examined with the ophthalmoscope. One thing which I noticed particularly was the absence of this excessive deposit of pigment and absence of this watered silk appearance in the half breeds, they taking after the white race.

Many of the intraocular diseases common among the white children were also absent, especially those diseases which are the result of near work.

It is a well known fact among breeders of animals that where animals are too highly or finely bred, the eye is the organ first to show a retrogression from the normal. In an examination by myself some years ago among deaf mutes, I found the offspring of consanguineous marriages much affected, and while not only were many afflicted with inflammatory conditions of the choroid and retina, their average vision was much below the normal.

My quoting Messrs. Lang and Barrett's figures was to bring more prominently to the notice of my hearers the fact that the eyes of primitive man resembled the eyes of the lower mammalia and that the natural eye as an organ of vision was hypermetropic, or far sighted, and that civilization was the cause of the myopic or near sighted eye. Nature always compensates in some way. I grant that the present demands of civilization could not be filled by the far sighted eye, but the evil which is the outgrowth of present demands does not stop when we have reached the normal eye, but the cause once excited, the coats of this eye continue to give way, and myopia or a near sighted condition is the result.

Among three hundred Indians examined, I found when I got to the Creeks, a tribe which has been semi-civilized for many years, myopia to be the prevailing visual defect.

Without going into statistics, I am convinced from my experience that the State must look into this subject and give our public school system of education more attention, or we, as a people, will be known as a "spectacled race."

Myopia or short-sightedness among the Germans is growing at a tremendous rate. While I do not believe that the German children perform more work than our own children, there is one cause for this defect which has never been touched upon by writers, and that is the shape of the head. The broad, flat face, or German type, as I would call it, has not the deep orbit of the more narrow, sharp-featured face of the American type. The eye of the German standing out more prominently, and, in consequence, less protected, is thereby more prone to grow into a near-sighted eye. One of the significant results of hard study was recently brought to my notice by looking over the statistics on the schools of Munich in 1889. In those schools 2,327 children suffered from defective sight, 996 boys and 1,331 girls.

Of 1,000 boys in the first or elementary class, 36 are short-sighted; in the second, 49; in the third, 70; in the fourth, 94; in the fifth, 108; in the sixth, 104; and in the last and seventh, 108. The number of short-sighted boys, therefore, from the first class to the seventh increases about three-fold. In the case of girls, the increase is from 37 to 119.

These statistics in themselves show us the effects of overwork, incessant reading or study by defective gas or lamp light, or from an over-stimulating light, as the arc light, late hours, dissipation, and frequent rubbing of the eye, also fatigue, sudden changes from darkness to light, and, what is probably worse than all, reading on railway trains. The constant oscillations of the car cause an over-activity of the muscle of accommodation, which soon becomes exhausted; the brain willing the eye to give it a clear photograph continues to force the ciliary muscle, which muscle governs the accommodation, in renewed activity, and the result may easily be foretold.