his practical work, in the medical and surgical wards, and in the medical out-patient room, supplies him with opportunities for practice and education in the use of the instrument, and the study of the various aspects of the normal fundus, without any interference with other work—opportunities, which, if lost, rarely return, and are not to be found in the practice of the ophthalmic surgeon. I think, indeed, that a perusal of the account contained in the following pages of the large number of diseases in which significant changes in the eye are common, will support the opinion that the condition of the fundus should be systematically described in medical case-taking, and it is only by early education in the use of the ophthalmoscope that such a result can be obtained.
Queen Ajstne Street, May, 1879.
