Fictional frontier doctor Elijah Baines quietly studied his rancher patient, 57-year-old J.M., who presented with a two-year history of decreasing vision. J.M. told Dr. Baines that at night, in the lamplight, he could “see things more clearly;” but the cabin surroundings were “darker than they should be.” In the bright sunshine, however, he had no problem with “seeing things,


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