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Why use plastic, cheap hardware, or fake leather to protect a critical part of your livelihood as an eye care professional?
You don't want to be on call and drop your case and watch your lenses roll around on the floor of the ED.
All of these cases are made to order by a person combining their passions of classic hand-tool woodworking and ophthalmology.
Wood looked good in 1700, 1800, 1900, 2000, and will for the rest of your career.