There remain a few points of interest which deserve mention. Though in the great majority of couched eyes the cataract lies in the lowest part of the globe, it may be found either to the inner or to the outer side, or even in the upper half of the eye. Sometimes it flaps backward and forward with the movements of the globe, swinging on a hinge, which evidently consists of the remaining fibres of the suspensory ligament, and which may be situate in any possible direction, though most often it lies below. It will be readily understood that if this hinge is situate below, or to the inner or outer sides, the lens will flap away from the pupil downward, or to the hinged side, as the case may be. It is not inconceivable that, in repeatedly doing so, it may inflict some measure of injury on the neighbouring part of the ciliary body and retina, and may thus excite a local inflammation which will tend in time to tie the cataract permanently in the new position towards which it flaps, away from the pupil. In the event of the hinge being in one of the three directions now under discussion, the cataract will tend to fall forward on to the pupil only when the patient stoops forward, so as to bring his face into the horizontal plane. When the hinge is situate above, the latter is one of the few positions of the face in which the pupil clears itself in ordinary cases; but one meets with instances in which, despite the hinge being above, the pupil remains clear except when the face is horizontal, the lens lying most of the time in the upper segment of the eye. There is another factor, and probably a more frequent one, than that of the local injury inflicted by the lens during its movement, which tends to tether it _in situ_. This is the increasing consistence of the vitreous, due to the deposit within it of inflammatory matter, a point which has already been alluded to. Our next consideration is that of the =cases in which the cataract still lies behind the pupil=. It then seldom, if ever, is in absolutely normal position, and it very frequently is found to have been moved bodily downwards or to one side, or obliquely. Again, but more rarely, it may be tilted backward at an angle with the plane of its normal position. In a great number of cases the history will help one, and, even when the patient denies couching, he will very often admit to having had “medicine applied to his eye by a native practitioner.” Should no such evidence be forthcoming, there may still remain that of the lesions to the cornea, the sclera, or the iris, to which attention has already been directed in the previous section.