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The following report on the work of the Orthoptic Clinic has
been given by Miss G.H.Montague-Smith , Orthoptist
"The children attended well apart from the first two months
of the year with the following results
Number of new cases 27
Number of attendances made 958
Failed to attend 3
Transferred 1
Unsuitable for orthoptics 1
Under observation 6
Cases treated with orthoptic exercises -
Discharged - Cured 6
Cosmetic 3 - 11
Unresponsive 2
Rest from treatment 5
Still on treatment 10
Waiting list 1

(f) Ear Disease and Defective Hearing. Ear Clinic - Dr. Francis
Clarke reports as follows
"The work of the aural clinic has been carried on without
interruption during the year and the attendance has been uniformly
good at the usual weekly session. It is noted that a fairly
considerable number of children seen at the weekly Consultation
clinics and referred for treatment to the Treatment clinics during
the week, have "lapsed" and did not complete the full course of
treatment prescribed. A number of these no doubt, has been due
to evacuation, change of residence and in some cases the parents
have not been able to take the younger children for regular
treatment as they are at work during the day.
"A special "Follow-up" is being trade during the ensuing year
to find out this present condition and make further appointments
for their treatment at the clinic.
A good many more cases of tonsil suction treatment have been
done during the past-year. In all, 37 cases were treated by the
suction method with very satisfactory results. This is an
excellent method of treating unhealthy tonsils in suitable cases,
and obviates the necessity for operation in the large majority.
Seventy cases were referred for operation out of 90 examined. In
these instances the tonsils were very "greatly hypertrophied and
accompanied by large adenoid masses which required removal, or were
badly diseased and acutely septic, or symptoms of acute rheumatism
v?ere beginning to develop; and in some instances the children were
too young and nervous to have suction treatment. We are steadily
increasing the number being treated by suction. The majority of the
parents are satisfied and report favorably on the quiescence of the
symptoms.
It is satisfactory to report that out of the 362 cases seen
st the clinic for the year only 49 were cases of chronic otorrhoea
and 15 of these were old' cases where a mastoid operation had
already been done. 31 of the 49 were discharged cured.
9.