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sary care are explained carefully to the parents. Orthoptic training
has also been started in the clinic for a few of the suitable
cases, but much more can be done in this direction. The following
are Some figures regarding the special work on cases of strabismus
during 1937.
Among the children who attended the eye clinic during
1937, there were 543 cases of strabismus, and of these 306 attended
more than once during the year. Some had as many as eight or
nine visits for advice and following up of treatment by occlusion.
The ages of children suffering from strabismus are given
hereunder:—
Age. Under 6. 6— 8— 11—
No. 123 127 200 93
The number of children who attended for orthoptic exercises
was 20; these children made a total of 170 attendances.
The carrying out of occlusion in cases of strabismus
requires the active co-operation of the teachers in schools. This
has been freely given, and the results are satisfactory in many
cases."
I agree with the suggestions of Dr. Russell that an
extension of orthoptic treatment is desirable. This matter will
have my attention in the near future.
(e) Nose and throat defects. A summary of the results
of examination and of the treatment carried out in children suffering
from nose and throat defects, and also in children who had
diseases of the ear, during 1937 will be found in Table XVI.
No secondary school children received any other form of
treatment under these headings.
No direct arrangements are made by the Authority for
treatment of defects of the throat and nose. All children who are
recommended for operative treatment are, by arrangement with
the respective hospitals, referred to Queen Mary's Hospital for the
East End, to St. Mary's Hospital, Plaistow, and to the Children's
Hospital, Balaam Street. During the year 627 children were
operated on for these conditions, and 87 received treatment by
private practitioners or in hospitals outside the Authority's
380