Excerpt from The Medical Brief, Vol. 10: A Monthly Journal of Practical Medicine; St. Louis, January, 1882

Manipulating and lending the lids tends to soften them and overcome the hard thickening making it possible for the levator and orbicularis muscles to again perform their functions. To have success be strict in carrying out the details, viz:

First Remove integument close to base of cilia.

Second Insert the suture in front of cilia near lower edge of tarsal, that in tying it will be transfixed upward and outward.

Third Leave sutures three inches long; draw them tightly up over eyebrow and fix with collodion or adhesive strips against forehead until tarsal edge of eyelid is retained in this restored or transfixed position by the new adhesion, which is most always by first intention.

Opacity of cornea is oftimes a consequence of trachoma. The well-established rule that where the opacity has permeating is red corpuscle-carrying-vessels, we are safe in a favorable prognosis, for this vascularity will prove the avenues through which resorption is possible - i.e., in insterstitial opacity, and the same will apply as to a partial clearing away the opaque substance in cicritial opacity, resulting from structural loss or change. Much time is mostly necessary to accomplish the greatest good. When an opacity is white, bluish, glossy, even in color, and the object glass reveals no vessels either reach out through the surrounding transparent corneal tissue or passing over or through the opacity. It is very doubtful if we can re-establish sufficient circulation to absorb it. Atropia, eserine, dubosia influence the circulation. Vaseline and hydrg. ungt., and pulv. alba.

Acts as absorbents and alternated as indications may require, will clear away many old inveterate corneal opacities.

Errata. - In communication No.3, page 656, eighth line "blephante" should read "blepharitis." Page 637 "cadnu sulph." should read "cadmii. sulph."

Editor Medical Brief: - I would like to ask through the Brief if there is any medicine that will stop the escape of semen with the urine. If so, what is it? Also, if a man is ever impotent if he has erections on awaking in the morning.

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