The Leeds Teaching Hospitals NHS Trust

Children's Orthoptic and Optometry Clinic

The Children's Orthoptic and Optometry clinic is a joint clinic where we work alongside Optometrists, assessing and treating paediatric patients referred by GP’s, Opticians and other health professionals. This clinic takes place in the Orthoptic and Children's eye clinic at St. James University Hospital.

Children are usually referred into this clinic with suspected reduced vision in one or both eyes, concerns of a possible squint and/or binocular anomalies, for which the Orthoptist will investigate. The Optometrist will than carry out a refraction (glasses test) to determine whether glasses are needed. Prior to refraction, the Orthoptist will instil pupil dilating drops in both eyes for the Optometrist to undertake a cycloplegic refraction. Not all children will require these drops for the test to take place, however this will depend on the type of refraction requested and in some older children a non-cycloplegic (without drops) refraction may be possible.

The Orthoptists will then follow up the children that have been diagnosed with a defect and complete treatment or observation prior to the child being discharged, without the need to be seen by an Ophthalmologist. A small number of children are referred to an Ophthalmologist for a second opinion or to discuss squint surgery.

Currently Children's Orthoptic and Optometry clinics are held on:

  • Wednesday mornings
  • Friday afternoons

We are currently giving drops to some patients to be dilated at home prior to their appointment for their glasses check. This is to minimise waiting times in clinic.