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132
Four cases require operation before further treatment.
Two cases failed to improve with treatment and
operation was not desired.
Three cases have been unable to continue their attendance.
Of the three cured the average number of treatments
required was 20.
Miss .j. Bradley in her report states:
" The aim of orthoptic treatment is to teach the
patient to use both eyes, because when a child squints, only
one eye is being used. The child must first be taught to
know when he is squinting by recognising diplopia or
double vision. Then fusion, or the ability to fuse the
images seen by both eyes is taught. In some cases when
the fusion faculty is strongly developed the desire to obtain
single binocular vision overcomes the squint and the result
is perfectly straight eyes.
Operation is indicated when the angle of squint
is too large to be cured with exercises alone.
The faculty of fusing the images seen by the two eyes
is a mental one, and, in some cases of squint, this is entire-
ly lacking, and these types do not benefit by orthoptic
treatment.
The number of treatments required to produce a cure
varies with the type of squint and the mental ability of the
patient. In many cases the squint has been apparent for
some years, and so it must take an appreciable time to
cure."
Report on the Work of the Ear, Nose and Throat Clinic.
This treatment clinic is held weekly when five case
are selected for operation at the clinic premises. Patient'
are retained over twenty-four hours and returned home by
conveyance where they are kept under the daily super-
vision of the school nurse. Periodic consultation clinics
are held to which are referred all cases of ear, nose and
throat disorder not responding to treatment, and direction
is given by the Consultant, Mr. Charles Beney. His report
follows: