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177
It is evident that the 38 cases requiring and waiting for treatment
will not be able to have the necessary treatment and training for a very
long time unless arrangements are made for additional sessions. In view
of the importance of arranging for the necessary treatment as soon as
possible after the defect is ascertained, I suggest that the Authority consider
increasing the number of sessions from two to four weekly.
Your Education Authority thereupon decided that, subject to
approval of the Board of Education, the Council's Orthoptist be
engaged for two further sessions per week.
Report by Orthoptist (Miss P. Montague Smith).
The following figures show the number and disposition of cases
dealt with at the special squint clinic during the year.
Number of children who attended clinic 118
Number of attendances made 1,039
Observation cases—no detectable squint 8
Left district 4
Refused or discontinued treatment 11
Treated for defective vision 20
Cured 10
Improved 7
No improvement 3
Treated for squint 30
Cured 11
Rest from active treatment
9
Still under treatment 10
Awaiting treatment 45
In those cases in which defective vision (amblyopia) exists
in one eye, the good eye is covered and/or treated with atropin
until the defective or "lazy" eye has learned to see properly. The
patient is then ready for orthoptic exercises designed to strengthen
the defective eye muscles and training both eyes to see simultaneously
so that they will be able to superimpose into one single
object the images seen by each eye. Each child receives from 20
to 30 minutes' treatment twice weekly.
Of the 30 cases (treated with orthoptic exercises) mentioned
above, 12 have had surgical operations on the eyes. In dealing with
cases of this type it is advisable for the patient to have orthoptic