Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Bexley]
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The most successful type of operation seems to be, in
my opinion, the flexor extensor transplantation for clawed
toes (Curly toes). The toes are always straight after the
operation and symptoms are relieved and further deformity
is prevented.
However, as least one very attentive mother was able
to prove to me that clawed toes, even at the age of twelve
years, could be improved without operation by the use of
Lambrinudi splints. Some at least of those who are not
helped by splintage, was due to insufficient attention and
perseverance.
Finally, the rooms at Murchison Avenue are ideal to
work in.
Ophthalmic Clinic.
I am indebted to Mr. R. M. Chambers, M.B., B.S..
D.O.M.S., for the following report:—
The attendance at the Eye Clinic for the year showed
no significant difference from former years.
The total number of examinations was 2,411, of which
537 were new cases.
A co-operative spirit was shown by the vast majority
of parents, so permitting the restoration of normal sight in
very many cases.
Occlusion by the direct skin-patch was employed
wherever possible, as it was both comfortable and effective.
An essential condition of this treatment of amblyopia
is the active mental effort to see more, each day, with the
weak eye a point stressed by me at the start of occlusion
in all cases.
Though school work may suffer a little, this is the
most essential part of the treatment of amblyopia and must
be followed rigidly.
Occasionally I have come across children who have
been excused some their lessions because they can't see.
This well-intentioned practice is in fact a disservice to the
child, who should be given every encouragement to try to
use the weak eye, allowances, of course, being made for a
temporary drop in academic achievement. The treatment
may take many months before the maximum restoration of
sight is effected. Children's hour of T.V. is a most potent
advantage so long as the patch is not removed.
36 cases were referred to hospital for surgery and /or
orthoptic training.
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