The paediatric services team offer a full range of treatment for
children's eye conditions up to the age of 16.
Our service covers all major types of eye condition including
squints (strabismus) and lazy eye (ambloyopia); refractive errors;
problems with the eye socket, tear glands and lids; anophtalmia and
microphthalmia (for children born without eyes or with very small
eyes); cataracts; external and corneal diseases; genetic
conditions; glaucoma; retinal disorders; and inflammatory eye
Our team includes consultant ophthalmologists (eye doctors),
nurses, orthoptists and optometrists; as well as support from
Henshaws, the society for blind people.
Up to the age of 16, children who are outpatients are cared for
in clinic H. If your child is an inpatient, they will stay in the
Royal Manchester Children's Hospital.
MAKING AN APPOINTMENT:
If you are concerned about your child's eyes, you should
see your GP or optician in the first instance. If he or she decides
that further investigation is required by more specialist staff,
they will arrange for you to have an outpatient appointment with
MREH or another eye-care provider. If you choose to be treated at
MREH, we will send you a letter confirming the date, time and
location of your appointment with us.
Professor Chris Lloyd
Dr Jane Ashworth
Mr Susmito Biswas
9am - 5pm, Monday to Friday
Tel: 0161 276 5561
Module H (on your right hand side as you enter the main entrance
of the Royal Eye Hospital)
Manchester Royal Eye Hospital
Central Manchester University Hospitals NHS Foundation Trust
During their visit, your child may need to have several tests to
help our clinicians to understand their eye condition. Some of
these tests are described below.
This is carried out to help diagnose problems with the eye. Your
child's eyes will be dilated and a small amount of dye injected
into their arm. Local anaesthetic will be applied to their arm in
order to numb the area.
This is carried out to help understand how your child's brain
and eye function together. Electrophysiology helps distinguish
between different eye disorders that may have the same symptoms,
and also helps us to understand if an eye condition is changing or
Phlebotomy is where a blood sample is taken. Local anaesthetic
cream will be applied to your child's arm 30 minutes before the
sample is taken.
B-scan-diagnostic ultrasound examination
These examinations take just a few minutes to complete and are
painless with anaesthetic required.
Children are examined while seated whilst babies or young
infants are generally examined while on a parent's lap or in a
portable car seat / buggy. Ideally, their head should be kept
be as still as possible.
A small wand (probe) is smeared with a liquid gel and moved over
your child's closed eyelid. The probe emits high frequency pulses
of sound (ultrasound pulses) into the eye and surrounding tissues.
In the time intervals between emission of ultrasound
pulses, the probe receives any echoes scattered
back towards it, converts the echoes into electrical signals
and displays them on a screen in real-time in the form of
cross-sectional images of the eye.
The individual performing the examination can make diagnoses
from the moving images on the screen. Selected images are stored
Measurements of eye structures are generally made from any
stored images once the examination is over. A report will be typed
immediately following the examination and given to parents to take
back to the referring ophthalmologist.
When you come to the hospital, it may be necessary to look at
the back of your child's eye. In order to do this, we will need to
put some eye drops into their eyes, which will make their pupil
(black part of the eye) bigger. This does not hurt your child, but
could sting a bit while the drops are going in, and your child will
have to keep still while we do this. The nurses are very
experienced in putting in eye drops and we often involve members of
the play team. It can take 20-30 minutes for the drops to work and
your child's eyes to dilate (get bigger). For dark eyes, it will be
necessary to put more drops in and can take up to 60 minutes.
The drops can take up to several hours to stop working and,
occasionally, there can be small effects the following day. If your
child is more active than usual or a little flusher (red) after
these drops, this is normal - please don't worry.
This test measures whether your child is long-sighted or
short-sighted. Your child's eyes will need to be dilated using the
eye drops as described above. The optomotrist will then use
different types of lenses which are held up close to your child's
eyes, and will shine a little light in each eye. The optomotrist
will try to use a trial frame on your child's eyes and insert
lenses into the frame in order to determine an accurate result.
This is like a pretend pair of glasses and the optomotrist will put
lenses onto the frames while looking into the back of your child's
eye with a light. They will then be able to tell you what strength
of glasses your child needs to wear.
Once your child is old enough, a refraction test will be able to
be performed without using the eye drops - this is called a