• 28.December 1945 Subject: History of the Optical Program, To: The Historical Division, S.G.O. Thru: The Chief, Supply Service From: I;:r. Stanley 77. Rybak, Optical & Artificial Eyes Section, Distribution Division, Supply Service. The history of the Optical Program begins in IJay 1940 and relates all the important events up to 31 December 1945. The true facts are related, and in criticizing certain aspects of the program, no reflections are cast upon the administrative abilities of any person connected with this program. It is intended to describe the over-all program and pointing out where mistakes were made in order that our predecessors may have something concrete with which to work in the event a program of this magnitude is again needed. The history is concluded with certain recom- mendations which are not only the ideas and impressions of the author, but also, of persons who were directly connected with this program and since have been separated from the Service, The recommendations are the consensus of individuals who are responsible for the administration of this program as well as of those who handled the various mechanics of fabricating spectacles. To begin with, it must be stated and emphasized and re-emphasized that the Optical Program, although considered relatively minor and unim- portant,* was In reality very significant as concerns the health of the Army, In most instances, the program as a whole ran along smoothly, and consequently, attention was not invited to the importance of this program. The difficulties which wore experienced were ordinarily localized, and therefore, not sufficient to attract attention. During a critical point of this program, Lt. Col. ’alter H. Potter took over the responsibilities and established this program to such an extent that the administration was more or less automatic, and difficulties were quickly dealt with. The importance of this program can be visualized more exactly when it is understood that over 1 Q% of all military personnel required spectacles for the correction of their visual acuity. The importance is further emphasized when an excerpt from Lt. Col, James N. Greear, Jr.'s report of the "Ophthalmological Activities in the European Theater of Operations During the First Half of 1945”, is studied. Therein, he makes a statement that were it not for the optical facilities which operated in that Theater, it would be necessary to evacuate approximately 10,000 soldiers per month who have lost or broken their spectacles. In reality, the efficiency of an individual is only as good as his eyesight—be he a Service Forces or combat soldier. During the last few years, the commercial optical companies have been making the public eyesight conscious, and undoubtedly, the Optical Pregram *.ill be realized as more important as time goes by. Before the history of the Optical Program is related, it is felt that due credit should be given to the two optical companies which undoubtedly carried the burden of the load in supplying military personnel with spectacles. They are the American Optical Company, Southbridge, Mass., and the Bausch & Lornb Optical Company, Rochester, New York. These two companies, despite the unusual demand for their production from civilians, were at all times conscious of the importance of the Array's Optical Program and never failed to be fully cooperative. It can be stated wixnout fear of contradiction that were it not for these two companies the Army's Optical Program v/ould be a serious failure. At this time, it should also be mentioned that due credit should also be given to Mr. Jerry Curry and -ur. K. E. . eber of the American Optical Company, and Mr. Jack Gwillim and Mr. A, H. Vdielpley of the Bausch & Lomb Optical Company, who had worked at all times in close cooperation with the army and who devoted their time in teaching optics to the individuals responsible for administering the Army's Optical Program, These men were at all times cognizant of the importance of this program and devoted their time above and beyond that normally required in connection v.ith their responsibilities to aid and further the Optical Program. It is the opinion of the author that the aforementioned companies and men should be given some official recognition for the splendid work they have done. On May 12, 1941, the Commanding Officer of the Station Hospital at Ft, McClellan, Alabama, advised The Surgeon General that approxinately seventy-five enlisted men of the 27th Division had broken their spectacles in the performance of military duty and the majority of these men could not have their spectacles repaired or replaced inasmuch as they were lacking funds. He further stated that a number of enlisted men, since being inducted in the federal service, were refracted at the Station Hospital at Ft. McClellan, and spectacles were strongly recommended, but a great many of the individuals were financially unable to purcte.se the necessary glasses, thus rendering themselves less efficient in the performance of their duties. At that time, the only provisions for purchasing spectacles for military personnel at government expense were contained in AH 40-1705 which authorized the procurement of spectacles at public expense only when it was necessary for the correction of visual defects resulting from violence suffered in the performance of duty. However, as early as May 194-0, a consideration was given to providing spectacles for military personnel during the national emergency, and at one time, it was contemplated that the American Red Cross would make such distribution in view of the existing Army Regulation* The Red Cross did not feel inclined that the matter of providing spectacles for military personnel was their responsibility and the matter was dropped. Upon receipt of the letter from Ft. McClellan, the question was vigorously pursued. It was estimated at that time that approximately 10$ of military personnel required spectacles and that the minority of these would not be wearing glasses at their entrance into the Service; therefore, making it necessary in some instances to provide the initial pair of eye- glasses. These estimations were based upon figures available from World War I, and it was felt that conditions since World War I in respect to an increase in deficient eyesight had not materially increased to affect the statistical data available. At this point, it may be stated that the first mistake was made in computing requirements at 10$ of all military personnel requiring spectacles, homally, it would have been correct to assume that conditions since World War I in deficient eyesight had not increased to any material extent; however, we neglected to remember that the education of the public with relation to eyesight had not begun until about 1930, and therefore, during World War I and in the 1920*s, visual deficiency had not increased, but the public was not aware that their eyesight had depreciated considerably and that the normal cure was a pair of glasses. It is safe to assume that although in this war it was found that 18$ of the indivi dials required visual correction, this figure may increase in perhaps twenty years to approximately 25$ when the public as a whole will become more eye conscious* The study concerning the issuance and repair of spectacles was made, and the entire natter reported to The Adjutant General on 5 June 1941 (S*G*C. File 413*75-2), with the recommendation that eyeglasses be supplied to military personnel* It was explained that approximately 10$ of the selected trainees required glasses. In presenting advantages of providing spectacles to military personnel, it was pointed out that "correction of refractive defects insured maximum efficiency in the performance of military duty" • The Adjutant General approved this recommendation and directed The Surgeon General to provide spectacles and the repair and replacement thereof, and to make such incidental arrangements and such contracts as may be necessary. He further directed that The Surgeon General publish such directives and information as were required* Shortly after the receipt of the authority of The Adjutant General, letters were written to each service command stating the tentative plan of The Surgeon General, i.e., to let contracts for the issuance of spectacles, one in each service command. Although several of the surgeons of the service commands were receptive to this idea, it v.as felt that due to the fact that a standard frame would be adopted, difficulties would result if nine separate contracts were placed with individual dealers in the various localities. As will be later pointed out, the increase in requirements would not have made feasible a plan of placing contracts in each service command and the program would have collapsed. The first problem was to select a frame which had military characteristics; i.e., would be most suitable for military personnel. Originally, two types of frames were considered; namely, the zylonite flesh colored frame with padded temples and wire core, and white metal nickel silver frame with comfort cable terples, After some consideration and consultation with manufacturers, it was decided the vdiite metal frame would serve all purposes and be most satisfactory. It appeared that the zylonite frame would easily be broken when used in extremely cold temperatures or could easily go out of adjustment in extremely warm climates. As stated, the frame selected was composed of 10$ nickel silver and had a reinforced bridge which could not be placed out of shape with ordinary vigorous usage. Later on, as the program was under way, it was found in extremely warm climates the frame corroded easily at such points which came into contact with the skin, in some instances causing discoloration and dermatitis. Consequently, the nickel silver content of the frame was raised to 18$, and some of the parts such as pad arm and pad arm assembly and endpieces, cable windings, were made of pure nickel. In extremely few cases, it was also necessary to furnish zylonite frames to individuals who had an idiosyncrasy of the skin whereby contact with metal caused dermatitis. Such requirements, however, were extremely small, and no special provisions had to be made for providing these frames. Attached hereto is a specification of the frame which was finally adopted. It may be stated that at the termination of the lar, individuals who served with optical repair units in the warm climates insisted that the ideal type of frame would be one of zylonite construction. It should be pointed out, however, that although there is no such argument that such frame is ideal for warm climates, such individuals advocating this frame are not aware of the reactions of this frame in cold climates. At one point in the program, numerous complaints were received from the various posts, camps and stations procuring spectacles issued by the government that the frames caused discoloration of the skin* However, an extensive survey was made of each military installation, and it was found that in the majority of instances the discoloration was caused through an idiosyncrasy of the skin rather than from a defect in the construction of the metal frame. As mentioned above, although the theory was disapproved that nickel silver frames caused discoloration and dermatitis, it is believed that this resulted from the fact that individuals in the field handling this inquiry were not sympathetic with the survey and because they lacked optical experience. With the war being terminated and an opportunity now being at hand to sift the various opinions on this subject, it is the firm conclusion of the author that the ideal type of frame is one which is gold filled. In addition, it is believed that the frame should either be flesh colored (in pink or white gold, and if at all possible, some form of camouflage such as etching should be used in order to minimize the reflection received from a highly polished frame). At this point, it is felt that it would be well to mention the fact that frame production is extremely important. It may be emphasized that a great deal of difficulty was experienced when requirements were re- computed from 200,000 pairs of spectacles per year to 2,350,000 pairs Inasmuch as a production cycle of five months was involved, i.e., from the time that allocations were received for raw materials to the time a finished product was distributed and stocked at the branches. Consequently, it was necessary that any sudden increase in requirements be predicated at not less than 180 days, '"hen requirements were re-computed and found to be completely erroneous in that the new requirement was approximately 1200$ in excess of the old, it was realized that the sole contractor for commercial type spectacles would be unable to meet the total demand either from the standpoint of production as well as filling prescriptions on an individual basis. The ITar Production Board was requested to survey the entire optical industry, and as a result of these findings, the production of the spectacle frames was apportioned among nine frame manufacturers, and the prescription contract was given to two optical companies which had dispensing facilities in all parts of the country. Frame production was allocated on the basis of all the frame manufacturers' civilian production in order that all optical companies could equally share in the Array's requirement and at the same time not penalize one manufacturer by forcing him to devote his full production to army requirements while other manufacturers continued selling spectacle frames to commercial sources at a higher margin of profit. Lenses which were chosen for use with the spectacle frames in commercial type spectacles were of first quality free from any defects, strias, chips, etc,, and were actually the best quality lens available in wholesale production, (The American Optical Company Centex and Bausch & Lorab Optical Company Balcor or equivalents were provided.) Bifocal lenses were also supplied and these were of the Kryptok variety which was a first quality lens as far as civilian consumption was concerned. Although issuance of spectacles was confined to these two types of lenses, there were instances where, in unusual circumstances, special types of lenses such as corrected curve, special base curves, flat lenses, lenticular lenses, contact lenses, etc,, were supplied. However, these were not specifically set forth in the contract, and before purchase of such lenses was made, it was necessary to receive prior authority from The Surgeon General. Early in 1945* this authority was decentralized to the service Commands and Ports of Embarkation, All such purchases of special lenses were made under the existing spectacle contracts, and in that way, lenses were received at the wholesale price, and the various administrative and fiscal problems were ne.de uniform. As in the case of frames, the increase in requirements both on a prescription basis in this country as well as an overseas stockpile set up to supply the mobile, base and portable optical repair units in the various theaters of operations, it was necessary that the lens production be apportioned among eleven lens manufacturers. This again was handled through the -ar Production Board, and the requirements were allocated for the same reason as applied to the frames mentioned above. The difficulty experienced in production of frames and lenses can be more readily visualized when it is pointed out that in addition to the Army’s requirements and the great increase in commercial business in the United States, the optical companies were called upon to supply vast stockpiles of frames and lenses on lend lease; i.e,, to the allied nations. Before our entrance into the war, the optical companies were working at maximum production and had no plans for expanding facilities in order to meet Army requirements should we enter the war, and consequently, upon our entrance into the war, the"production of the optical industry was in rather a chaotic state. The Army began supplying spectacles on a prescription basis for troops in this country in January 1942, and estimates were made to the contractor that for the year 1942, approximately 200,000 pairs of spectacles would be required. This was based on the estimate that 1C$ of all military personnel would require spectacles, and the basis of issue at that time was one pair of glasses to each individual requiring spectacles, and an additional pair supplied when such an individual was being shipped overseas. Of the numerous bids which were received, only two companies were selected for consideration inasmuch as both of these companies (American Optical Company and Bausch & Lomb Optical Company) had dispensing facilities through the medium of branch offices or affiliated branches located in the majority of large cities throughout the country. Both contractors had approximately 250 such Branch Offices, and it was felt that from the administrative and fiscal standpoints, the awarding of one contract would be a great deal easier to handle. The contract was awarded to the American Optical Company since its price was the lowest. After a contract was awarded to the American Optical Company, this office received a great deal of criticism from the Smaller War Plants Corporation and Congress to the effect that we were aiding and abetting a monopoly. Various small optical dispensers insisted upon our placing contracts locally in order that they might service one or two camps. The author wishes to emphasize that had we let many contracts rather than one central contract, the administrative as well as fiscal aspects would have been extremely complex, and it is strongly advocated that a central contract should always be placed. As stated above, requirements were miscalculated, and when it was found that approximately 2,350,000 pairs of spectacles would be issued during 1943, contracts were awarded to both the American Optical Company and the Bansch & Lomb Optical Company to share proportionately the Amy's demand, A total peak of 192,000 pairs of spectacles was ordered on an individual prescription basis in July 1943, and at that time, it was realized that in order to fill this large quantity of prescriptions, it would be necessary for the contractors to subcontract some of this prescription work to individual dispensers located in the same city. As a result, this increased the capacity of the various Branches from a prescription production standpoint and requirements were met. However, delays in delivery were occasioned since a shortage of frames as well as lenses was experienced, and the optical companies were not geared for this large demand. At that time, lens and frame production was apportioned between the various contractors, and the Army turned over to the contractors who supplied spectacles on a prescription basis, quantities of frames and lenses to the prescription demand. When the spectacle program was being orgauizad, it was realized that that a tremendous clerical task would be involved if it would be necessary to order spectacles on an individual prescription basis in the routine manner whereby a delivery order, a contractor's bill and receiving report would be made out for each individual pair of glasses# This would occasion a total of 24 copies, it being estimated that the clerical time involved to complete all these forms for one pair of glasses would take approximately 15 minutes, not taking into consideration the contractor's time and which would require another five minutes per order. As was later indicated with the progress of the war, the labor market became very critical, and no doubt, the method employed for individual purchases under contract would have cut a deeper groove in the labor market. All this being realized, a form (VJ.D., M.D. Form No, 130) was devised (copy inclosed) which acted as a combination delivery order, contractor’s bill and receiving report. This form took up the size of a standard sheet, and it was finally approved by the Comptroller General for official use. Copy of the W.D., M.D. Form No, 130 is attached hereto. In the middle of 1944, a new form was devised (W.D., A.G.O, Form No, 8-145) (copy inclosed) which cut the work approximately in half inasmuch as one-time carbons were furnished with the order form in sets of the required number of copies. In this manner, the task of inserting carbons was eliminated, and the following procedure for ordering spectacles was finally adopted: 1, The delivery order was filled showing the name of the contractor, contract number, name, age, rank and of the patient, name of the installation and date of the order and pertinent data concerning the prescription. (Vil.D., A.G.O. Form No. 8-145 was supplied in 7 copies). With the original of the delivery order signed by either a medical supply officer or the prescribing medical officer, the seventh copy was retained for a tickler file for the installation concerned, and six copies with the carbons forwarded to the nearest branch of the optical company. 2, After the prescription was filled, the order was returned with the spectacles and the contractors bill was filled out showing the name of the contractor and date the order was filled, the cost of the spectacles, the invoice number of the braich office and the original only signed by the Branch Manager or his designated representative. The 5th and 6th copies were removed for the contractor’s files, the remaining being forwarded to the installation with the glasses, 3. The delivery order was then completed on the four copies received from the branch office of the optical company, and notation made on the tickler copy of the date the glasses were received. The following information was contained on the delivery orders Contract number, the name of the installation, the date the spectacles were received and the original was signed by the medical supply officer. These four copies were then sent forward for processing for payment, and the seventh or tickler copy retained at the installation for its permanent record. At the beginning of the spectacle program, all orders were forwarded to the Fiscal Division, SCO, in Washington, and there the orders were audited and sent to the Finance Office for payment. However, this function was decentralized to 12 branch fiscal offices throughout the country associated with distribution depots, and eventually, consolidated to one regional fiscal office located at the St, Louis Medical Depot, St, Louis, Mo. In order that as little time as possible could be devoted to auditing spectacle order forms, various installations were directed not to concern themselves with any auditing features nor with the correctness of the price; consequently, a great burden was relieved from the installations, all of it concentrated on individuals who were auditing experts. Further information concerning the fiscal aspects of the Optical Program is available in the history of World War II being written by the Fiscal Division, SGO. The auditing of spectacle order forms involved a unique problem in that before the correctness of the price could be determined, the prescription had to be interpreted. With the original contracts, a price order forms from the optical branch offices would accumulate such forms for weeks, and in some instances, months at a time before the Ifedical Supply Officer took a day off to sign all the necessary forms, Again, this was remedied by means of a directive whereby it was made mandatory that spectacle order forms would be signed the same day that the glasses were received. At the beginning of the Optical Program, the basis of issue for spectacles, commercial type, was one pair to each indivi dual requiring spectacles for the efficient performance of his military duties, and another pair was provided him upon embarkation for overseas, This basis of issue, of course, created a burden on the staging areas and ports of embarkation, and when large numbers of troops were being sent overseas, the optical company under contract was unable to meet the delivery schedules (3 days) with the final result that the majority of such spectacles ordered had to be mailed to the respective APO addresses, and consequently, there is no doubt that a great many individuals never received their second pair of glasses. The faultiness of this basis of issue was realized, and it was then decided that two pairs of spectacles would be issued to the individual concerned as early as possible in the training period. Shortly after the Optical Program began, it was found that the Army ophthalmologists were ordering lenses in l/8 diopter variations* This practice resulted in holding up delivery inasmuch as such type lenses had to be ground to prescription. Ordinarily, a wide range of foci in 1/4. diopters is carried by optical companies, thereby eliminating the necessity for grinding lenses on a prescription basis for the common type of prescriptions. However, the ordering of 1/8 diopters as stated above, required extra ?;ork, and after consultation with many ophthalmologists, both civilian and military, it was decided that a directive be written advising personnel doing refractions in the Army’s posts, camps and stations, to not prescribe any lenses in l/8 diopter variations* In July 194-3, a total of 190,000 pairs of spectacles were ordered, and after an analysis was made, it was found that individuals were being furnished spectacles who did not require them. As an example, there were many glasses issued with piano lenses for both eyes as well as very minor corrections such as plus or minus .25 in each eye. It was also found that some glasses were issued calling for a slight prismatic correction of l/4 to 1/2 diopter. At that time, an optical board was organized consisting of military as well as civilian ophthalmologists, and it was this Optical Advisory Board which decided that spectacles would be issued only to individuals who required a correction of more than one diopter in any meridian in either eye. This basis of issue was in effect for perhaps two months when the Amy Air Forces requested a waiver in their particular instance inasmuch as a large number of their personnel did not come under the provisions of this basis of issue although the minor corrections they required were considered essential for the efficient performance of their military duties. This was especially true in the case of individuals who required minus corrections up to one diopter and who did not come within the provisions of the basis of issue. The waiver was granted to the Amy Air Forces, and shortly thereafter, it was decided that this basis of issue was also faulty. Again, the Optical Advisory Board decided that the basis of issue should be changed to individuals having a visual acuity of worse than 20/100 in either eye or to other individuals who, in the opinion of the prescribing medical officer, required spectacles for the efficient performance of military duties regardless of their visual acuity. In this latter instance, however, it was necessary that a certificate of necessity would be attached to the spectacle order form which would be certified by the prescribing medical officer and the circumstances set forth which necessitated the issuance of spectacles. The reason that the visual acuity was set as a yardstick of measurement rather than the diopter was that it was felt that the diopter rule forced refraction whereby an individual had to be refracted to determine whether he required a lens above one diopter in any meridian. On the other hand, the visual acuity rule necessitated an individual reading the 20/100 line with either eye. After a survey was made, it was found that in 60$ of the instances, certificates of necessity were required, and it was realized that from the administrative standpoint, an undue burden was being placed on the already overworked eye clinics, and consequently, a basis of issue was adopted which has been in effect up to the present time whereby spectacles would be issued to individuals requiring a correction of more than one diopter in the meridian of greatest defect in either eye or to other individuals who required spectacles for the efficient performance of military duty in the opinion of the prescribing medical officer in which instance a certificate of necessity had to accompany the order. Concerning the certificate of necessity, in the early stages of the optical program, it was necessary that separate copies of the certificate of necessity accompany the order; however, with the adoption of V.,D., A.G.O. Form No, 8-143 as a spectacle order form, the certificate of necessity was printed in the purchase order section of the order form which only needed the signature of the prescribing officer, thereby eliminating the clerical problems which were involved. At the conclusion of the war, a directive was immediately written to the effect that the basis of issue would be only one pair of spectacles to each individual requiring correction. This order was put into effect since it was felt that it would be more economical by reducing the number of pairs issued to an individual. In the event an individual would break his one pair of spectacles, he would be obliged to wait until they were either repaired or replaced. It is the opinion of the author that this directive represented false economy inasmuch as individuals who were obliged to wrait for their spectacles after they were broken would be placed on sick call, and in effect, waste their time until the repaired spectacles were returned to them. It is a firm conviction that the basis of issue should be one pair to individuals with the exception of two pairs being given to those who have a visual acuity in either eye of 20/70 or worse, or a binocular visual acuity of worse than 20/A0, Although the question of hardening lenses came up quite often during the Army!s Optical Program, it was never adopted. However, again, it is the opinion of the author that serious consideration should be given to the utilization of tempered or hardened lenses since the factor of breakage is less prevalent in such types of lenses. In addition, at the present time, a great deal of experimentation is being performed by various optical companies of a non-glare lens. It is obvious that such a type lens has very definite military characteristics, and if this program is successful, it is believed that the tempered, non—glare lens is ideal. Requirements:—Probably the greatest error of the Optical Program was the computing of requirements in the early stages of the program. Primarily, it was estimated that only 10$ of all military personnel would require spectacles, and this estimate was based on the requirements of rorld War I as well as the Civilian Conservation Corps, Actually, it was found that somewhere between 18$ aud 20$ of military personnel require spectacles for the efficient performance of military duties; however, if spectacles were issued without any restrictions whatsoever, there is no doubt that this percentage would probably be much higher. At the beginning of the Optical Program, inductions were at a rather moderate rate and were stepped up without adequate warning to enable the contractor to tool up for the demand. For the year 1943, an estimate was made that approximately 250,000 pairs of spectacles would be issued. Actually, however, approximately 2,250,000 spectacles were issued, and taking into consideration the fact that approximately five months are required for a contractor to build up his production (this involves the allocation of mterials, the processing and the shipment to the branch offices), it was not unusual that delivery of spectacles was delayed as much as three to four months after an order was placed as compared to the contract delivery time called for of three days. At the present time, requirements are figured on the basis of inductions, two pairs for each man plus a 30$ per annum replacement factor covering all individuals requiring spectacles who are stationed in this country. For example, supposing one million men will be inducted in one year, 18$ of which will require spectacles, and since two pairs of spectacles will be issued to each individual, a total of 360,000 pairs of spectacles are required. Supposing further that three million men are stationed in this country, 18$ of whom are wearing spectacles and each man having two pairs in his possession, with a replacement factor of 30% on the 54-0,000 spectacles existing would make a replacement factor of 162,000; therefore, the requirements for that year for issuance locally would be 522,000 pairs of spectacles. Fitting and Repair Cases:—At the beginning of the optical program, it was realized that with the distribution of spectacles, it would be necessary to set up an organization which could prescribe as well as fit the frames after they were received from the optical company. Realizing that with the induction of men into the Amy many opticians would find their way into the eye clinics (this being especially true when the program for providing spectacles was announced to the various posts, camps and stations), a fitting case. Item 3627500, Case, Spectacle, Fitting and Repair, was devised which contained frames of all sizes which would be supplied under the optical program as well as an adequate quantity of temples of various sizes as well as adjusting pliers, screwdrivers, taps and screws for the endpiece as well as temple-piece. The sizes of frames supplied were? 40 x 18 42 x 20 44 x 20 46 x 22 40 x 20 42 x 22 44 x 22 46 x 24 40 x 22 42 x 24 44 x 24 46 x 26 40 x 24 42 x 26 44 x 26 40 x 26 The temple lengths supplied were 52H, 6”, 6=rM and 7”, The procedure set up -for taking measurements of the frames as well as fitting was as follows; After refraction, the individual would present himself to the optician who would determine the size frame and temple required, and this data together with the prescription would be set forth on the spectacle order form. Upon receipt of the spectacles, the individual concerned would be notified, and he would present himself at the installation concerned where the spectacles would be fitted to the face of the individual. This, in effect, was the procedure which was set up. However, there is no doubt that possibly as little as 20$ to 25$ of all installations actually followed this procedure. With the rapid rate of inductions in the early stages of the war, the eye clinics were tremendously overburdened, and with the second pair of spectacles being issued at staging areas and ports of embarkation, the majority of eye clinics dispensed entirely with fitting of spectacles to the individual’s face. It was observed at many of the busy installations that the spectacles received at the eye clinic would be sent to the commanding officer of the individual's unit, and the supply sergeant would hand the spectacles to the individual. Of course, a great many individuals wore glasses previously and realized that fitting was necessary, and they either fitted the glasses themselves, or when on furlough, had them adjusted at some civilian optical shop. Although it was realized that this practice was common, no action was taken to remedy the matter since it was realized that the eye clinics were tremendously overburdened, and it would be a physical impossibility to expect them to carry the responsibility of fitting spectacles, ubviously, the only solution to the problem was the addition of manpower, aud this was entirely not feasible. The problem of fitting spectacles is much more important than many people realize inasmuch as individuals with high corrections require that the spectacles be properly fitted. This is especially true with individuals who have high astigmatism or who wear prisms. It is recommended that a training program be instituted whereby Medical Corps personnel could learn the art of fitting spectacles. As stated before, this phase is considered extremely important, and the above suggestion should be considered very carefully. Although the problem of production of spectacles has been mentioned before, it is felt extremely important to devote some space to it. As previously mentioned, there is a production cycle of five months to the manufacturing of frames; three months are devoted to securing the raw materials which are allocated by the ;ar Production Board; one month is required to make the necessary parts and assembly at the factory; and another month is required for shipment from the contractor’s plant to the various branches throughout the country. In addition, it is necessary to have three months' requirements in production at all times since the branch office of the optical company should have two months of stock on hand and another month's stock in the pipeline from the contractor's plant to the branch office. In the event requirements are under-estimated, it would take five months before pressure of demand would be somewhat minimized. For that reason, it is felt advisable that requirements should be over-estimated. Since the* contracts are lot for an entire year, it is felt that at the half- way mark, if it is learned that the requirements are too high, the contractor can always be told to cut back on production. Probably, the most serious problem which was encountered in the way of production on the optical program was the fact that ¥