Senior optometrist, Tombs and Allen Opticians, Gosport

My typical management for a child with accommodative esotropia and amblyopia would be to prescribe full cycloplegic refraction (particularly if they were hyperopic) and recommend building up to full-time wear and referring to the hospital eye service orthoptics team via the child’s GP to review visual acuity (VA) and strabismus angle after the child has had a chance to adapt to the spectacles. I would expect them to be seen at our local community hospital “orthoptics-led” clinic for orthoptist assessment within eight to 16 weeks.