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96
The running of the clinic in its present form with the help of the Hornsey
Central Hospital in taking X-rays and carrying out some patho logical investigations
has been smooth and without complications which could not be dealt with under the
present set up.
The variety and degree of severity of the cases which the school medical
officers have referred to this clinic shows an acute appreciation of the type of case
we wish to see. A small number do not requite immediate active treatment but are
still welcome, as they may require observation.
The majority require treatment and receive it at the clinic. Some again
require operative treatment. This year there were eight, and of these, seven have
been admitted to the Orthopaedic Unit at Highlands General Hospital. The parents
of the remaining one are unfortunately unable to make up their minds. This is
unusual as the parents and children are usually most co-operative in carrying out
the treatment suggested".
Ophthalmic Clinic, Tottenham
I am indebted to Mr. T.G. Kletz, M.B., Ch.B., D.O.M.S., for the following
report:-
"The work at this clinic in 1958 has been concerned mainly with refractions
and squint cases referred from School Medical Examinations and the Minor Ailments
Clinic and, to a lesser extent, cases of medical ophthalmological interest
requiring treatment or investigation. A few cases of eye injury have also been
seen.
Age groups seen were from young infants of a few weeks to school leavers
aged 18 years. During the year a number of pathological and congenital conditions
have been seen, some of whom were referred to hospital for further investigations.
A small number of new cases were registered as partially sighted,
whilst some of the children already registered were issued with a spare pair of
glasses where this was considered advisable.
The question of unilateral visual defect being detected at routine school
medical inspections is giving rise to some anxiety and I feel that if possible it
would be advisable for the children to have each eye tested on a different chart.
A number of cases arriving for refraction are found to have one extremely defective
eye, but manage to memorise the chart and read off the letters which in fact they
are not seeing.
I set out below a few points of interest in respect of the ophthalmic and
orthoptic clinics:-