Orthoptic Followup

The orthoptic department forms an integral and important part of the modern eye unit. It is run and manned by orthoptists who carry out the careful measurement of visual acuity with and without glasses and the measurement of eye

RIGHT CONVERGENT SQUINT

Figure 14.3. The cover test.EQ

RIGHT CONVERGENT SQUINT

Figure 14.3. The cover test.EQ

movements and binocular function. Once the patient has been seen for the initial visit, follow up in the orthoptic department is arranged and the question of treatment by occlusion of the good eye has to be considered. By covering the good eye for a limited period, the sight of the amblyopic eye can be improved. The younger the child, the better are the chances of success. In older children beyond the age of seven or eight years, not only is amblyopia more resistant to treatment, but the treatment itself can interfere seriously with school work. The type and amount of occlusive treatment have to be planned and discussed with the parents. Sometimes atropine eye drops are used as an alternative to patching one eye. Orthoptic exercises can also be used in an attempt to strengthen binocular function.

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