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75
Miss A. B. MacClancy, L.R.C.P.(I)., L.R.C.S.(I)., L.M., D.O., the
Ophthalmic Surgeon at Mayesbrook Clinic, makes the following report:—
"The majority of the children attending the Clinic have refractive
errors—about 30% of these children suffer from squint.
As a result of Routine Medical Inspection at the recently opened
llford Junior Occupation Centre, cases requiring ophthalmic treatment
are referred to this Clinic.
There is now an Orthoptic Clinic at Mayesbrook—this is a great
advantage in treating these squint cases, and the clinics are very well
attended.
A number of children with superficial eye conditions are also seen
and treated. Cases of muscular unbalance are treated in the Orthoptic
Department."
Mayesbrook Orthoptic Clinic.
Mrs. M. J. Mindell, D.B.O., the Orthoptist, makes the following report .
"Mayesbrook Orthoptic Clinic was opened on 11th February, 1953.

New Cases.
Of the 250 new cases seen. 84 were seen only once; 25 of these
had pseudo-strabismus or apparent squint, generally caused by
excessive epicanthus, extra wide or extra narrow inter-pupillary distances,
oblique palpebral fissures, etc., but were orthoptically satisfactory.
The remaining 59 were either (a) too old to benefit from
orthoptic treatment; (b) had already completed orthoptic treatment at
another clinic; (c) were still attending some other orthoptic clinic and
did not wish to transfer, or (d) although not orthoptically satisfactory,
had had varying amounts of orthoptic treatment already and seemed
unlikely to benefit from further treatment due to such factors as age.
poor bfnocular vision, early onset, lack of stereopsis, etc.
The remaining 166 were occluded where necessary before being
given a course of orthoptic treatment of varying duration.
In certain cases this treatment had to be postponed either because
of the young age of the patient and/or lack of co-operation. For
example, one type of orthoptic treatment necessitates the patient
being able to read fluently and. unfortunately, many of the patients
seen could not read at all.
There were also 12 patients who, in the writer's opinion, would
benefit from operative treatment. These 12 patients have been referred
to their respective ophthalmic clinics and there, where the opthalmic
consultant has advised surgery, patients have been temporarily