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

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Enfield 1937

[Report of the Medical Officer of Health for Enfield]

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The cases requiring glasses consisted of:—

Hypermetropia24
Hypermetropia with astigmatism1010
Hypermetropic astigmatism19
Myopia1223
Myopia with astigmatism1417
Myopic astigmatism—1
Mixed astigmatism16
Anisometropia33

Six children were referred for operation for squint. Two were
operated upon and four are awaiting operation. In addition two
children who were referred for operation in 1936 were operated in
1937. One child was operated upon for detached retina. During
the year 28 children attended the Western Ophthalmic Hospital for
orthoptic exercises making a total of 253 attendances during the year.
1 have taken many interesting cases up to the Western Ophthalmic
Hospital for further investigation. These include two cases of suspected
optic atrophy, a marked pseudo-neuritis, two cases of retinochoroiditis,
one of detached retina, one interstitial keratitis, one of
episcleritis, and two of foreign bodies in the eye. The case of
detached retina was a very unusual one.
We have had a great many more cases from the Welfare Clinics
and these are naturally more difficult than the school children, and
so we have had to have more extra sessions. It is a great advantage
to get some of these children (especially the squints) at a tender age,
and in some cases it is vital. For instance, in the current year we
have had a case of glioma of the retina and I anticipate that the child's
life will be saved by our intervention. That could have been done
elsewhere, of course, but the advantages of the full co-ordination
of the services should be apparent.
I am glad again to give thanks and praise for the kindness and
competence of the clerical and nursing staff who help me so much
in the work at the clinic.
I am, Mr. Chairman, Ladies and Gentlemen,
Your obedient servant,
STEWART MACKY,
School Ophthalmic Servant.