Ekambaram, studied the ways of the Indian coucher at first-hand, and gave the results of his experience in one of the most valuable contributions to the subject yet made. This was in 1910. Two years later the writer was able to review the statistics of 550 consecutive cases of couching, all of which had been carefully noted. Still more cases accumulated before he left India, and by the kindness of Major Kirkpatrick, the total under review has now reached 780. The examination by J. H. Parsons of a couched eye has already been mentioned. In 1913, A. C. Hudson sectioned and described a similar specimen sent him from India by the writer. The only previous published records of the same kind are from the pen of E. Treacher Collins, and refer to four specimens of couched eyes in the Museum of the Royal London Ophthalmic Hospital. Major H. Kirkpatrick has recently examined several more cases in Madras, and has kindly communicated some of the more interesting of his findings to the writer. Communications, that have been made from time to time before meetings of ophthalmologists, show that British surgeons of the first rank are still in favour of performing couching under certain special conditions. A marked instance of this is to be found in the discussion which took place before the Ophthalmological Society of the United Kingdom on February 8, 1906, following the presentation of a case by Holmes Spicer. On that occasion Rockliffe and Treacher Collins stated that, like Spicer, they had performed the operation in exceptional cases, and Devereux Marshall and G. W. Roll accorded it a modified support under such conditions. The writer has also learnt from personal communications that other leading surgeons have taken a similar line. There for the present we must leave the history of this operation, whose origin is lost in the dim mists of antiquity, and whose chequered career forms one of the most interesting pages in the literature of medicine. BIBLIOGRAPHY ALBERTOTTI, GIUSEPPE: Benevenuti Grassi, de oculis eorumque ægritudinibus (réédition de l’incunable de Ferrare, 1498); Paris, 1897. ALBERTOTTI, GIUSEPPE: Depression of Cataract, La Clinica Oculistica, June, 1903. AMERICAN ENCYCLOPÆDIA and Dictionary of Ophthalmology, Casey Wood; Chicago, 1916. BASSO: La Clinica Oculistica, January, 1904. BLAND-SUTTON, SIR JOHN: On an Apocryphal Miracle, Middlesex Hospital Journal, vol. xx., No. 1. BRISSEAU: Traité de la Cataracte et du Glaucome; Tournay, 1706. CELSUS, A. CORNELIUS: Of Medicine, trans. by James Grieve; printed by D. Wilson and T. Durham, Strand, London, 1756. COLLINS, E. TREACHER: R.L.O.H. Rep., 1893, vol. xiii., p. 308. CUSSON, M. P.: Remarques sur la Cataracte, à l’Académie des Sciences de Montpellier, 1779. DRAKE-BROCKMAN, Surg.-Capt. H. E.: The Indian Oculist and his Equipment, Trans. of the O.S. of the U.K., vol. xv., 1895.