Our paediatric ophthalmology team, led by Miss Bola Odufuwa, is composed of an optometrist and an orthoptist. Assessment of visual development in infants and young children is carried out in a child-friendly environment at our eye clinic in London.

We use state-of-the-art technology to assess the health of your child’s eyes. We specialise in treating children with squints (including surgical correction where appropriate); we also see children with autism, dyslexia, and other learning difficulties.
"Our role in cases of autism or dyslexia is to exclude ocular or neural pathology and then to channel the patient to the most appropriate professionals."

Miss Bola Odufuwa, consultant ophthalmologist and co-owner.

Squints in Children

The medical name for a squint is strabismus. This is a condition that causes the eyes to look in two different directions: while one eye looks forwards to focus on an object, the other eye turns either inwards, outwards, upwards or downwards. Most squints occur in young children. A child with a squint may stop using the affected eye to see with. This can lead to visual loss called amblyopia, which can become permanent unless treated early in childhood. Treatment involves patching the good eye to force the use of the affected eye. Sometimes, surgery is needed to correct the appearance of a squint.

What is a Squint

A squint is a condition that means the eyes do not look together in the same direction. Whilst one eye looks straight ahead, the other eye turns to point inwards, outwards, upwards or downwards. Squints are common and affect about 1 in 20 children. You might even spot that your baby has a squint. Most squints develop before preschool age, usually by the time a child is three years old. Sometimes squints develop in older children, or in adults.

More Information on Squints:

How will a squint affect my child?
A child with a squint may stop using the affected eye to see with. This can lead to amblyopia, which should be treated early in childhood to prevent the condition from becoming permanent.
Types of Squints
A squint occurs when the eye muscles, or the nerves supplying the eye muscles, are not balanced correctly. This imbalance prevents the eyes from being used together correctly. The cause of a squint is not always obvious, but can include a family history, long or short sightedness, droopy eyelids, cataracts, stroke and injury.
Visual Acuity
Generally the vision in pre-verbal children is checked by observing their interest in patterned cards versus a blank card of similar size. The size and depth of colour in the pattern that they consistently respond to gives an indication of how well they see. In older children, matching cards with pictures are used. The limit of size and contrast of the picture that the child consistently responds to is indicative of the level of vision. Older children can identify objects or read the same charts as older people.
3D Vision
When both eyes have good and equal vision and work together, a child has good depth perception. Special cards with varying degrees of 3D imagery are used to assess how well the eyes work together
Diagnosis and Treatment
The sooner a diagnosis of a lazy eye is made and treatment started, the better the results. This is because younger brains are easier to re-train. On rare occasions, squint surgery is needed early for reasons of improving the vision, but surgery is more commonly carried out for reasons of restoring the normal appearance of straight eyes.

Squint Examples

Convergent squint / Esotropia / Cross Eyed

One or both eyes turn inwards. This can occur at any time in the first 5 years of life in children. The eye that is turning inwards usually has poor vision as a result of amblyopia or a refractive error.
Divergent squint / Exotropia / Wall Eyed

One or both eyes turn outwards. This occurs more frequently where the child is short sighted. It can also occur in association with long-standing poor vision in the diverging years or years after surgery in previously convergent squint (consecutive divergence).
Hypotropia Squint

One eye is looking down relative to the other. This may occur after blunt injury to the affected eye or in people with thyroid eye disease.
Hypertropia Squint

One eye is looking upwards relative to the other.
Pseudo Squint

Appearance of a squint resulting from unusually narrow (pseudo esotropia) or wide (pseudo exotropia) nose bridge. This is differentiated from a real squint by tests, including checking the corneal reflexes and measuring the angles of the gaze.

If you are looking for a children’s eye clinic in London, get in touch with My iClinic today – our paediatric ophthalmology department has extensive experience in the treatment of squints in children.
John Bolger Performing a Cataract procedure John Bolger Performing a Cataract procedure