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76
Surgery.
During the past year 13 patients have been operated on at various
hospitals (Moorfields. Royal Westminster, Royal Eye, Oldchurch), to
help overcome their squints. In some cases the Surgeon wished the
patient to remain under his hospital for post-operative treatment, in
others the patients were referred back to Mayesbrook Orthoptic Clinic
immediately after their operation for treatment. Various patients are
still awaiting their operation.
Discharges.
During the year 13 patients were discharged as orthoptically satisfactory;
16 as improved. In the latter case it was considered unlikely
that the patient would benefit further from additional orthoptic treatment,
either because of age, poor binocular vision, early onset of squint
and/or various economic factors.
10 patients were transferred to other orthoptic clinics.
9 patients were discharged after failure to keep any of three or
more consecutive appointments.
3 patients were discharged with intractable amblyopia, which failed
to improve with prolonged occlusion.

Attendance.
Attendance has improved on the whole this year, although constant
reminders are needed by patients during school holidays. Patients
who live in the extreme north of Ilford find it difficult to attend,
especially where several other children have to accompany mother
and patient to the Clinic. It is believed that the increase in London
Passenger Transport fares has prevented some patients from attending
and also the inaccessibility of the Mayesbrook Clinic for those patients
from Fairlop, Barkingside and Hainault.
Total number of patients still attending the Orthoptic Clinic on
31st December, 1954=145,