erators, who have been in a position to do so,
have contrasted the results obtained by the Elliot method and those
following the Lagrange procedure. Probably the most important of these
observations is the experience of Meller (Die Sklerektomie nach Lagrange
und die Trepanation nach Elliot) set forth in a paper read by him at the
last meeting of the _Deutsche Naturforscher und Aertze_. In this report
Meller gives an account of 389 sclerectomies following the usual
Lagrange procedure. Twelve per cent of the cases were of acute glaucoma;
61.5 per cent of chronic inflammatory glaucoma, and 9 per cent of simple
glaucoma. The rest of the operations were done in other forms of the
disease. In more than half the cases the usual iridectomy was performed;
in 30 per cent the procedure was peripheral; in 4 per cent there was no
iridectomy. The patients were studied during a period of five years. In
more than half the instances there was a pale, cystic, oedematous
cicatrix; in 11 per cent the scar was ectatic, and in the remainder the
field of operation was quite flat. The form of the scar was described in
most instances, but it was not noticed that there was a definite
relation between the cicatrical formation and the intra-ocular tension.
In 70 per cent of the cases a good result followed the operation, but in
10 per cent the result was decidedly unsatisfactory. Cloudiness of the
lens set in in 4 per cent of the cases, while posterior synechiae
developed in the great majority of them. In 2.3 per cent the eye was
attacked by iridocyclitis and in 3.4 per cent enucleation was found to
be necessary. Six eyes became atrophic but were not, for various
reasons, removed. One and three-tenths per cent of the eyes operated on
were lost from late infection. Vitreous was lost in 6.2 per cent. Two
eyes became blind from expulsive hemorrhage. The large majority of
these complications arose in the eyes operated on for chronic glaucoma.
There were fewer eyes lost following the operation for glaucoma simplex
than in the other forms of the disease. Recurrences were noticed in 11.3
per cent of all the cases; in simple glaucoma 14.3 per cent as against
the acute and chronic forms with 6 per cent. A return of the glaucoma
was noticed in 7 per cent of the pale, oedematous, post-operative scars,
in 16 per cent of the flat cicatrices, and in 24 per cent of the ectatic
variety. Considerable stress is laid upon the fact of the marked
softness of the eyes af