I -tAJotsi. (? J - «»***" jytifrmarj &Mrm DELIVERED TO THE OFFICERS AND STUDENTS OF THE NEW-YO&K OPHTMUWC »0$Wmt ON THE 6th MARCH, 1856, BY ISAAC FERRIS, D. D., LL. D. PRESIDENT OF THE BOARD OF DIRECTORS. NEW-YORK: DANIEL FANSHA"W, PRINTER, 35 ANN-STREET. 1857. ANNIVERSARY ADDRESS. Gentlemen of the Ophthalmic Hospital :— This is an auspicious occasion. I congratulate you on its occur- rence. You are very like the traveler on his journey, who has gained an eminence from which he looks down on difficulties overcome and work accomplished, and is enabled to look with pleasure over a pros- pect full of promise and encouragement. Difficulties incidental to new enterprizes you have met, but friends have gathered around you and cheer you onward. It is surprising that the establishment of such Institutions dates so near our own time in the world's history; and it is worthy of note that Austria,—imperial Austria,—so associated in our minds with oppression and injustice, should have led the way in a work so im- portant and beneficent. Happy is it that such a redeeming circum- stance relieves an otherwise not inviting picture. It is said that in 1173, under the supervision of one of her most distinguished physicians, she opened two wards of the Vienna Hos- pital to the use of patients afflicted with diseases of the eye, and threw open their doors to the instruction of students. There the first lio-ht of science broke in upon the profession on this department of its work__there the medical student first discovered the value of the eye as a beautiful mirror, where from its transparency he could best learn, because the only one in which he could see clearly, the pro- gress of morbid action. Tardily was this enterprize copied. Thirty years after did Eng- land, and ten years still later did our own country follow. Eighteen hundred and four was memorable for the opening of the first Eye Infirmary in London. The name of Saunders will long be cherished 4 ANNIVERSARY ADDRESS. for his noble efforts and the corresponding success which he achieved. In our own country, the first effective movement was made by Drs. Kearney Rogers and Ed. Delafield, who are quoted as " the fathers of American Ophthalmology," the former of whom has gone to his reward, and the latter is spared to see the Institution they reared enter upon a new career of usefulness, while many thousands of sufferers have given them their blessing. Eighteen hundred and twenty-four—two years after—saw Boston entering upon the same generous service, and in its field conferring incalculable benefits on the humbler ranks of social life. These Institutions have special claims on the interest and large benevolence of the humane. Can we very well over-estimate the value of the organ of vision ? • We are " fearfully and wonderfully made"—every part of these physical systems illustrates and con- firms this, but none scarcely so remarkably as the eye. Some have entered with earnestness on the discussion of the question, With which—had we the choice of calamities—with which of our senses we could with the least evil consequences dispense; and it is said the deaf and dumb, on the one hand, and the blind on the other, reciprocally sympathize and deprecate the opposite evil as the worse. But certain it is, that a benignant Providence has made the eye the channel of enjoyments ever varying, never ceasing. Little in bulk, curious in contrivance, most admirable in adjustments and adapta- tion, it ministers almost unfailingly to our pleasure and our benefit. Through the eye we scan the mighty works of God, and trace with delight the soft pencilings and the sweetly mingling coloring of the daisy and the tulip; through the eye we doubly appreciate the love of those around, as we read their beaming countenances; and through its aid are guided in those efforts requisite in provision for their welfare. What would avail all the beauty of the universe, without the eye to see it ? And how easily is this delicate organ deranged and injured! One who speaks professionally says: "No organ is found to possess more intimate sympathies with all others than this, and is more prone to feel the result of all causes that tend to pro- duce derangement of the general system."* Ophthalmic Institutions, Gentlemen, are to be viewed in two aspects —first as benevolent, and secondly as schools of instruction. * Dr. Eeynolds, of Boston, from whom also the historical facts are derived. ANNIVERSARY ADDRESS. 5 As Benevolent Institutions their place is most important—their contribution to human good of a multiform character, and such as has no pecuniary equivalent. Who are they, more immediately blessed through their agency ? They are of the laboring classes— those who depend on the efforts of a sturdy industry, daily put forth for the sustenance of life. We sympathize with a Milton in his touching reference to sightless orbs—we sympathize with the noble historian, our own countryman, who knows the painfulness of exclu- sion from the cheering beams of day, but who, rising above all obstacles which would have crushed out an ordinary courage, pro- duces work after work in the department of history, each a model to all ages, and the admiration of the world. So we ming^ our solicitude with a large circle of friends, watching the progress of an affection of the eye, as it is gradually and steadily drawing a curtain over the sight of the oldest pastor in our city, (alike beloved and venerated throughout our land,) and hope a kind Providence may grant a complete triumph to ophthalmic surgery in the case, when the time arrives for its interposition. But with all this, it is true that a vast majority of all the evils to which the eye is subject, though it has a wonderful protection, are not seen in the study of the clergyman, the office of the profes- sional man, or the counting-house of the merchant; but in the work- shop, and amid the laborious pursuits of the mechanic, and in the general condition of the poor. I cannot do better than quote here the testimony of one most eminent in the medical profession, in his terse statement: "In the unhealthy locations and the wretched tene- ments of the poor—in the imperfect ventilation to which they are constantly exposed—in the inappropriate and often insufficient ali- ment, the scanty clothing, the neglect, the want of cleanliness, and the thousand privations inseparable from their lot," you find the pro- lific sources of the diseases of the eye. The heart is moved by what he most touchingly adds: " The affections of the eye are not the ordi- nary trial of the woman whom heaven's bounty has blessed with competence or wealth; but of the widowed mother, whose needy offspring renders every hour an hour of toil, and the dependent seams- tress, whose patient fingers know no repose till the midnight hour. It is the toil-worn laborer, whose fatiguing occupation must be continued in the summer heat and the winter cold—it is the poor foreigner, who builds your railroads and repairs your docks," and D ANNIVERSARY ADDRESS. digs your canals, and they who fill your multitudinous manufactories, which constitute the suffering masses. How entire, throughout the whole circle of domestic dependencies, are the losses and miseries which follow, when one occupying the place of father, or that of widowed mother, or son or daughter, whose ingenuity and industry furnish the means of life—when one such becomes the victim of disease. Suffering here is far from being in- sulated ; and in the train of unhappy consequences which must follow, if no relief be obtained, how much shall we have to deplore ! How much of vagrancy—how much of crime—(involuntary crime, I had almost said)—under the pressure of stern necessity, may be traced back to these unalleviated disasters. Thanks to a kind Providence, which has opened the way to the direct application of medical science to the alleviations which Eye Infirmaries and Ophthal- mic Institutions administer ! While immediately and directly al- moners of personal benefit, they step in to stay the current of evil— they keep the circle of little dependents from the vagrant's and out- cast's condition—they preserve to their aid the hand which may guide safely and restore to successful labor the brawny arm which can ill brook idleness or inactivity—they grant to the aspirations of the afflicted the privilege of going forth, as he was wont, to the pursuits of life. Gentlemen, I am astonished at, I am delighted with, the amount of munificent liberality which members of the medical profession show towards the suffering poor in these Institutions. One has said, " time is money ;" much more may it be said that labor and skill are money, and both our medical men freely and cheerfully yield in this good work. Annoyances there must be, sacrifices there must be, pecu- niary taxes are often added ; yet there are those who heed not any or all of these in diffusing comfort in the habitations of poverty, in- vaded by the almost numberless " ills to which flesh is heir." Ah ! yes ; there are names which may find no gilded or emblazoned ceno- taph in a St. Paul's, which will be embalmed in the best affections of the heart. The blessing of many ready to perish shall be the privi- lege of such. The liberal of all classes, the community as such, may well come to the aid of these Institutions, viewed in their benevolent aspect. How much may be done to promote the comfort of those who require ANNIVERSARY ADDRESS. 1 protracted nursing and care—a fit department for the Christian sisters who would emulate the Nightingale of the Crimea ! How much may be done by our princely merchants, in furnishing the ac- commodations and agencies which the physician needs in so blessed a work ! I have said these Institutions are to be viewed as Schools of In- struction to the medical student, soon to pass to the solemn responsi- bilities of his profession. This must be regarded as an exceedingly important view. As in such a city as ours they naturally gather every form of disease to which the eye is incident, they thus give to the student a concentration of the experience of many a practitioner, in the course of two years. There will be diffused, as a necessary consequence, over a vast field—as that is vast from which our stu- dents come—the benefit of the knowledge and skill acquired. It is a wise provision which enables a young man thus to single out a spe- ciality, and enjoy every facility in making himself familiar with it. Young gentlemen of the graduating class in the New-York Ophthalmic Hospital, I congratulate you on the advantages you have enjoyed and the success which has attended your studies. The range of subjects which you have seen treated is wide. I perceive, in look- ing over the record of the 1,282 patients who have been under treat- ment within the year, that diseases of the Lids and Lachrymal Organs, of the Covering of the Eye, of the Cornea and Muscles of the Eye, of the Pupil, Lens, and Optic Nerve have been specially brought before you, and suc- cessfully ministered to, while full lectures have been given on all that relates to the organ of sight. The results you will carry with you to every section of our country, with all the advantages of a thorough medical course. In a few days you will leave us; and, in mind, I follow you to scenes in which all your attainments will become im- mediately available. I see you in the mansion of the rich, in the hut of the poor—at the spot where some painful calamity has over- taken your fellow-men—in the hospital—called to the chamber of the statesman or the day-laborer—some child of many hopes—some beloved wife—and, with the confidence which knowledge inspires, you address yourselves to the necessary measures. Having seen already the work of older and experienced hands, and participated therein, you are at no loss: at once confidence in the bosoms of other parties, and especially of the suffering, is inspired, and happy results follow. Without such preparation as here enjoyed, how compara- 8 ANNIVERSARY ADDRESS. tively helpless would you feel yourselves ! You might sympathize with the suffering; you might experiment on some general principles, but at every stage would feel painfully at a loss. In my judgment, every medical practitioner,—and especially those who come from por- tions of our country where the labors of the profession are not sub- divided, and few men can give themselves to specialities,—should regard it as indispensable to take such a course as you have enjoyed. You will now receive the diplomas to which you are entitled. I sincerely wish you success in ministering to human ailments in your useful profession ; and, under the smiles of a benignant Provi- dence, may you become sources of the highest good to your suffering fellow-men! c^^c*-#~c^e/a^^^ FOURTH ANNUAL REPORT OF THE SURGEONS OP THE Jefo-fjkfi %jrtjmlmk J^pM, AT No. 6 STDTOANT PLACE, NEAR NINTH-STREET, WITH THE CORRESPONDENCE BETWEEN THEM AND THE HON. GEO, W. BRADFORD, M. D. MEMBER OF THE STATE SENATE. Incorporated April 21st, 1852. NEW-YORK: DANIEL FAN3HAW, PRINTER, 35 ANN-STREET. 1857. N. B. The Hospital is open for the reception of patients every Tuesday, Thursday, and Saturday, from 1 to 3 o'clock. OFFICERS AND DIRECTORS. $restirent. REV. ISAAC FERRIS, D. D., LL. D. Vlct^vt&itttnt, PETER COOPER. Evtaxxitzv. BENEDICT LEWIS, Jr. HON. C. S. WOODHULL, HON. WM. S. DAVISON, HON. A. C. KINGSLAND, REV. T. DE WITT, D. D. ELIJAH F. PURDY, JOHN M. SEAMAN, G. STUYVESANT, BENJAMIN F. CAMP, ENOCH DEAN, HON. J. R. WHITING, SOLOMON JENNER, DANIEL DREW, W. B. CAMPBELL, J. J. DAVIES, JOHN JOHNSON, T. B. ABBOTT, NATHAN W. LADUE. Secretary). WM. W. STEPHENSON. ©onsttlttrtjj Surgeons. VALENTINE MOTT, M. D., LL. D. DAVID L. ROGERS, M. D. Dr. MARK STEPHENSON, 383 Broome-street, and 167 E. 14th-st. Dr. JOHN P. GARRISH, 860 Broadway, corner 17th-st. &potfiecar£. FRANK B. ABBOTT. FOURTH ANNUAL REPORT. / To the Board of Dieectors. Gentlemen :—The labors, anxieties, and responsibilities of the Surgeons for another year are added to the past, and are only known to Hoi who is the Judge of all the earth; and from whom they expect their reward in that day when the secrets of all hearts shall be made known by Him who hath said, " He that giveth unto the poor, lendeth unto the Lord." In contrasting the trifling expenditures of the Institution with the vast amount of good which has been accomplished within a single year, by persevering effort in the cause of Christian bene- volence and medical science, the Surgeons of the Institution feel a conscious pride in recommending it to the fostering care of the Legislature of the State, the Common Council of the city, as well as to the benevolent and humane of all parts of the State. We have the pleasure of announcing to the Board that the Institution was visited, during the past autumn, by a commit- tee from the Senate of the State Legislature, consisting of the Hon. Mark Spencer, Geo. W. Bradford, M. D., and M. L. Lee, M. D. Dr. Bradford, one of the Committee, subsequently wrote the following letter to the Senior Surgeon of the Hospital: " Homer, N. Y., November 12th, 1856. "Dear Doctor :— "As the duty of making that part of the Report of our Commit- tee in relation to Hospitals has been assigned to me, I am anxious to do it satisfactorily to all. To enable me to do this, I should be pleased to receive any suggestions from you, not only in relation to your own Institution, but upon Hospitals in general, as to their bet- ter construction and usefulness : especially I want to know the value of all the medical and surgical services rendered gratuitously 14 FOURTH ANNUAL REPORT. annually in your Institution—if such services were rendered in pri- vate practice, at the usual rates of charges in the city. Please answer this at your earliest convenience." Respectfully yours, Geo. W. Bradford, M. D. To Dr. M. Stephenson. REPLY TO THE ABOVE. We will now give you an account of the gratuitous services rendered annually by the Surgeons of the New York Ophthal- mic Hospital, with a moderate rate of charges for the same ser- vices rendered in private practice. 1,200 patients were prescribed for during the past year, and on an average each of them seen five times, (many of them were in attendance for three months each, others six months, and some even twelve months,) which would amount to............ $6,000 00 500 minor operations upon the lids, cupping, etc.,. 500 00 6,000 preparations of medicine, at 12£ cts., . . . 720 00 10 operations for cataracts, at $50 each, (the more usual charge is $100,).........500 00 Total,.............. $7,720 00 The above is a very low estimate, as you can easily judge for yourself: we presume $8,000 is nearer the mark. Our Ophthal- mic School, with regular courses of lectures and examinations every winter, constitutes a new and very important feature, in connection with clinical instruction at the Hospital. It is of incalculable benefit to medical students and practitioners from every section of the country. In regard to the better construction of Hospitals, we need hardly §&y to one who is so well acquainted with the subject of Hygea as yourself, that too much attention cannot be given to ventilation. Of all other buildings, Hospitals, Medical Colleges, and Pub- lic Schools should be well ventilated. Flues in the walls for the escape of animal miasma are just as much needed as chimneys are for the ascent of smoke. Respiration is nothing more or less than a species of combustion, and animal heat the product. All com- bustion is attended with the evolution of carbonic acid gas, no matter whether it take place in the human lungs or elsewhere ; fourth annual report. 15 which gas is deleterious to health and destructive to life. The heat obtained by radiation from hot water pipes is far prefer- able to the former method of warming Hospitals by the air cir- culating over hot furnaces, which robs the atmosphere of much of its oxygen, and consequently impairs its vitality. As to the usefulness of Hospitals, there can be but one opinion, provided purity and cleanliness are observed. They are espe- cially useful in the more delicate operations upon the eye, as in cases of cataract and artificial pupil, where the after-treatment and proper nursing of the patient are so essential to the success of the operation and recovery of vision. Read the testimony of Prof. Geo. B. Wood, in an address delivered at the Pennsylvania Hospital: " I have no hesitation in saying that the cure of the sick is but a small part, relatively, of the good that is done in a well-regulated Hospital. The opportu- nity which it affords to the medical student of acquiring a prac- tical acquaintance with disease, contributes much more largely to the general benefit." No further evidence, surely, is now wanting as to the merito- rious character of this enterprise after what has been shown in the above statistics ; nor any further argument required to prove the importance of having a commodious building suited to the wants of the Institution. The number of cases treated during the year 1856 will be seen by the accompanying classification of the diseases. Mark Stephenson, M. D. John P. Garrish, M. D. Diseases of the Lids and Lachrymal Organs. Granulated Lids, with Yascular Cornea, Ectropion, or Eversion of the Lids, Entropion, or Inversion of the Lids, . Tinea Ciliaris, or Inflammation of the Lids, Wounds of the Lids, . ... Tumors of the Lids,..... 194 6 3 54 1 5 FOURTH ANNUAL REPORT. Ptosis, or Inability to open the Lids, . Lagophthalmos, or Inability to shut the Lids, Lippitudo, or Sore Lids, .... Trichiasis, or Inversion of the Eye-Lashes, Erysipelatous Inflammation of the Lids, Hordeolum, or Stye,..... Symblepharon, or Adhesion of Lids to the Ball, Inflammation of the Lachrymal Sack, Fistulous opening in the Sack, . 4 1 5 4 8 5 10 6 319 Diseases of the Conjunctiva, or Covering of the Eye. Acute and Chronic Inflamm ation, . 220 Catarrhal Inflammation with discharges, . . 42 Purulent Inflammation with discharges, 12 Gonorrheal " " n 3 Scrofulous, " ■ . 40 Pustular, " • . • . 48 Tumors on the Conjunctiva, , . , 2 Pterygium of " • 3 Diseases of the Cornea. Simple and Scrofulous Inflammation, Opacity of the Cornea, Ulcers of Cornea, ... Wounds of Cornea, ... Staphyloma of Cornea, Effusion of Blood into the Anterior Chamber, Hypopium or Matter in the Anterior Chamber, 370 20 108 90 5 24 3 2 252 Diseases of the Coats and Muscles of the Eye. Inflammation of the.Sclerotic Coat, ... 12 Sclero-Iritis,.......4 Inflammation of the Choroid Coat, ... 2 Staphyloma of the Sclerotic Coat, ... 6 Ophthalmitis, or Inflammation of all the Coats . 1 FOURTH ANNUAL REPORT. 17 Strabismus, or Cross-Eyes, Atrophy of the Eye, . Fungus Oculi, 12 2 1 46 Diseases of the Pupil, Lens, and Optic Nerve. Inflammation of the Iris, .... Syphiletic Inflammation of Iris, . Aquo-Capsutitis,..... Adhesions between Iris and Cornea, . Prolapsus of Iris,..... Cataract or Opacity c*f the Lens, Glaucoma, or Opacity of the Vitrious Humor Inflammation of the Retina, Amaurosis or Paralysis of the Nerve, Occlusion of the Pupil, .... Total, 17 4 2 8 4 36 1 3 75 2 152 1,139 Results of Treatment. 750 Have been cured or relieved.* 81 Incurable. 20 Declined treatment. 12 Removed to Bellevue Hospital. 275 Result unknown. 70 Remaining under treatment. 1,282 * Many of these were chronic cases, and were obliged to discontinue treatment before a cure could be effected, on account of not being able to support themselves any longer without employment. 18 FOURTH ANNUAL REPORT. Recapitulation. Remaining under treatment, 1st January, 1856, . Admitted from 1st January, 1856, to 1st January, 1857, Total for year 1856,...... Total from the opening Hospital, in May, 1852, Nativity of the Patients, Ireland, . 678 England, . 49 Scotland, 6 Germany, ,. . 40 Spain, . 1 United States, ; 365 1,139 January i, 1857. FOURTH ANNUAL REPORT. 19 MEMBERS OF THE NEW-YORK OPHTHALMIC SCHOOL, For the Session of 1856-7. Abbott, F. B. New-York. Beall, Wm. L. Georgia. Beatty, J. J. (M. D.) Tennessee. Bond, Frank, (A. B.) New-York. Breneman, J. P. Pennsylvania. Buckley, J. L. New-York. Cannon, D. A. (M. D.) South Carolina. Carroll, John H. Alabama. Case, Meigs, New-York. Clark, C. M. New-York. Crandall, W. W. New-York. Pewey, G. A. (M. D.) New-York. Fisk, C. L. Jr. Massachusetts. Forsyth, J. H. (A. B., M. D.) New-York. Freeman, Wm. Canada West. Frochlich, D. M. New-York. Ghent, Byron, Canada West. Grammer, John Jr. (M. D.) Virginia. Goelet, S. M. Tennessee. Green, J. W. (M. D.) Virginia. Gunn, D. F. Georgia. Hall, M. R. Georgia. Harrington, J. Connecticut. Henckler, J. New-York. Heuel, J. New-York. Hoff, Oliver P. Georgia. Hodgman, Abbott, Massachusetts. Hogan, H. W. Kentucky, Hornsby, O. W. Mississippi. Jordan, L. F. H. Virginia. Leigh, H. G. (M. D.) Virginia. Lewis, S. M. Kentucky. Martin, H. C. Pennsylvania. McCleery, B. N. New-Brunswick, British America. Meeker, C. H. New-Jersey. Neal, G. L. Indiana. Osgood, W. D. (M. D.) Massachusetts. O'Neal, J. C. New-York. Peck, W. F. Pennsylvania. Priestly J. (M. D.) Scotland. Rafael, Domingo, (M. D.) Spain. Rafael, Rafael, Mexico. Reading, Edgar, (M. D.) Illinois. Robinson, W. R. California. Rumsey, Wm. Canada West. Rumbaugh, G. H. Pennsylvania. Seaman, R. S. (M. D.) New-York. Severance, C. E. Massachusetts. Scott, A. L. Massachusetts. Sheldon, E. P. New-York. Southard, S. New-Jersey. Smith, G. R. New-York. Stephenson, S. H. Kentucky. Stroud, T. M. Georgia. Sutton, S. D. Georgia. Thomas, J. G. Kentucky. Vanderveer, C A. New-Jersey. Vosburgh, A. New-York. Lee, E. E. (M. D.) New-York. Zirkle, M. S. Virginia. 20 FOURTH ANNUAL REPORT. COURSE OF INSTRUCTION. Lectures on Ophthalmic Medicine and Operative Surgery, every Wednesday, at 7£ p. m. during the winter session, by Mark Stephen- son, M. D. Also, Clinical Instruction, by Drs. Stephenson and Garrish, on Tuesday, Thursday, and Saturday, from 1£ to 2£ p. m. An examination, with an engraved testimonial of the course of studies, will be given at the end of the term, signed by the Surgeons and Officers of the Institution. Tickets $5—the avails given to the building fund. N. B. The Diseases of the Eye are illustrated by a splendid col- lection of models imported from Paris ; also by Dalrymple's magni- ficent work on the Pathology of the Eye, the engravings of which surpass anything which has yet appeared from the London press. The various operations on the eye will be performed in the presence of the class, and each disease illustrated in living subjects as far as practicable. LIFE PATRONS. ANTHON, HENRY, Rev. Dr.f $100 ASTOR, WM. B. . 100 BANGS, NATHAN, Rev. Dr.f 100 BEECHER, HENRY WARD, Rev.| 100 CAMPBELL, WM. B..... 150 CONE,* SPENCER H, Rev Dr.f . 100 DE WITT, THOMAS, Rev. Dr.-j; . 100 FERRIS, ISAAC, Rev. Dr.f . 100 SANFORD, CHARLES..... 100 SPRING, GARDINER, Rev. Dr.f . 100 STEPHENSON, MARCUS P. 100 TYNG, STEPHEN, Rev. Dr.f 100 WESTERVELT, JACOB A., Hon. . 100 t So constituted by members of their respective congrej rations. * Deceased. FOURTH ANNUAL REPORT. LIFE GOVERNORS. Allen,* Stephen, (Hon.) $40 00 Aspinwall, Wm. H. 50 00 Boorman, James,..... 40 00 Bradford, A. W. (Hon.) . 40 00 Cooper, Peter, ...... 40 00 Couch, George,..... 40 00 Davies, John J...... 40 00 Davison, Wm. S. (Hon.) . 40 00 Dean, Enoch,...... 40 00 Francis, John W., (M. D., LL. D.) . 40 00 Grinnel, Moses H. . • 50 00 Hall, Valentine, .... 40 00 Jenner, Solomon, (A. M.) 40 00 Johnson, John, .... 50 00 Kingsland, A. C. (Hon.) 40 00 Mott, Wm. F...... 40 00 Neilson,* N. Fish,..... 40 00 Purdy, Elijah F..... 40 00 Rogers, David L. (M. D.) 40 00 Seaman, John M..... . 40 00 Stephenson, Mark, (M. D.) ' 40 00 Stephenson, Wm. W. (A. B., LL. B.) 40 00 Stuyvesant, Gerard, . 40 00 Trimble, George T..... 40 00 Wetmore, Samuel, .... 40 00 Woodhull, Caleb S. (Hon.) . 40 00 Wright, John D..... 40 00 Young, Henry, .... . 50 00 * Deceased. 3Br. Benedict Lewis Jr., Treasurer, in recount with the New-York Ophthalmic Hospital. OTr, 1856. 1856. Dec. 31. Balance from old account, $342 67 Dec. 31. Rent of Building, .... $200 00 Cash from J. E. Munsell, . 5 00 Incidental Expenses, .... 36 50 Interest, Savings Bank, 13 32 Apothecary, ..... 100 00 Cash from W. W. Stephenson, . 40 00 Cash on hand,..... 64 49 $400 99 $400 99 Benedict Lewis, Jr., Treasurer. FOURTH ANNUAL REPORT. 23 COMMITTEE OF VISITATION. The Committee of Visitation shall consist of two members, to serve for one month in rotation. The Board of Directors shall be so classified that each member shall have a specified month in each year, during which he or his colleague shall visit the Hospital, and see that the patients are regu- larly prescribed for and attended to ; that the Apothecary and other officers attend to the duties of their office with accuracy and neat- ness ; to suggest any improvements that can be made ; and to see that proper economy is observed in all the departments. COMMITTEE OF VISITATION FOR 1857. Jan. Woodhull and Rev. Dr. Ferris. Feb. Purdy and N. W. Ladue. March, Kingsland and J. Johnston. April, Davison and W. W. Stephenson. May, Whiting and D. Drew. June, Cooper and E. Dean. July, Rev. Dr. De Witt and J. J. Davies. Aug. Purdy and T. B. Abbott. ✓f^lMJIrlf X $/)N Sept. Kingsland and J. Johnston, ^y^ Oct. Davison and W. W. Stephenson. Nov. Camp and G. Stuyvesant. Dec. Whiting and D. Drew. x/BRA.^V FINANCE COMMITTEE. They shall audit all claims against the Institution—they shall provide all necessary articles needed for the Hospital ; and One or more of the Committee shall visit it at least once in each week. Solomon Jenner, \ Wm. B. Campbell, v Committee. John M. Seaman, ) \ \