Someone who read, and needed his glasses.
He lost hankies; that’s why he used big ones.
The pyramid thing is a watch fob, made from a piece of quartz with gold flecks. They were heavy to help prevent fumbling the delicate watch and dropping it. (Fob in 1 pocket, watch in the other; that’s why the chain went across the waistcoat.)
Note case had place for actual notes, and banknotes, and train tickets, just like our wallets have places for cards, and IDs, and cash. Staying organized is a human problem.