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Robert Rutson James was born in 1881. He was educated at Winchester College and St George's Hospital. He held resident posts at St George's, Moorfields, and at the Royal Westminster Ophthalmic Hospital. He became ophthalmic registrar at St George's in 1909 and assistant ophthalmic surgeon after a few months, a post he held for seventeen years, becoming ophthalmic surgeon only in 1926 and retiring in 1931. He was ophthalmic surgeon to the West Ham, now Queen Mary's, Hospital during 1911-1918. He retired from private practice in 1935 and settled at Woodbridge, Suffolk in 1939. James was secretary of the Ophthalmological Society of the United Kingdom during 1918-1921, he later served on its Council, and became an honorary member in 1936. He was also editor of the British Journal of Ophthalmology. He died in 1959.