London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1924

[Report of the Medical Officer of Health for Croydon]

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The following table gives details of the defects found in children examined at the eye clinic during the year, and shows the great variety of conditions dealt with:—

Errors of Refraction—Corneal nebula21
Hypermetropia130 Episcleritis1
Hypermetropic astigmatism198 Congenital cataract4
Myopia129 Ptosis3
Myopic astigmatism74 Leucoma1
Mixed astigmatism58 Nystagmus7
Other Conditions—Optic Atrophy2
Strabismus, convergent64 Choroiditis1
divergent5 Corneal Ulcer2
Conjunctivitis3 Retinitis1
Blepharitis8
Keratitis9

Spectacles can be obtained at reduced rates by arrangement
with a firm of opticians in the town.
The following procedure was adopted early in the year, with
satisfactory results:—
1. The children attend twice at the Eye Clinic; on the first visit
for a preliminary test, on the second for refraction.
2. If spectacles are needed, a prescription, in which is also
entered the cost of the spectacles if provided by the opticians
in question, is handed or sent to the parents.
3. At the same time, a list of children receiving spectacles is
sent to the opticians. The latter return the list, indicating
whether the children have attended for measurement for
spectacles. Payment is made by the parents direct to the
opticians, who forward the spectacles to the eye clinic.
4. The children then re-attend the eye clinic for the fit and
suitability of the spectacles to be verified by the ophthalmic
surgeon.
5. Children failing to attend at the optician's are visited by the
health visitor to ascertain whether steps are being taken
to obtain spectacles.
(e) Ear Disease.
165 children received treatment at the School Clinic on account
of ear diseases; the great majority of these were suffering from ear
discharge. These children attended daily for treatment by gentle
syringing with antiseptic lotions. Chronic ear discharge is a
source of serious disability to the child, not merely involving prolonged
absence from school, but by its very nature rendering the