Extended roles in Orthoptics


This is a condition where there is increased pressure in the eye. Referrals to our Glaucoma Monitoring clinic can only be made by Consultant Opthalmologists. The outreach glaucoma clinics enable stable glaucoma patients to have their review appointments at their local centre. You will usually be seen by one of the Orthoptic Assistants first to have your vision and visual field test done. The Specialist Orthoptist will then check the front of your eye, your eyeball pressure (intraocular pressure) and look at the back of your eye at the optic nerves. Photographing the back of the eye (fundus photography) may be carried out by one of the imaging technicians if this is required.

Age-related Macular Degeneration (AMD)

This condition has two main sub-types:

  • Wet AMD
  • Dry AMD

Both types of AMD cause damage to the macula (light-sensitive part of the back of the eye) which affects the central area of vision. You may be seen by one of the Specialist Orthoptists who work in the AMD clinic. During the consultation the Orthoptist will:

  • Review your OCT’s (Macula scans),
  • They may look at you on the slit lamp (microscope)
  • Make decisions on whether you need any treatment such as an injection into the eye.

Botox injections for Blepharospasm

Blepharospasm is the uncontrollable, involuntary, spasm of the muscle responsible for closing the eyelids. This can cause problems with seeing due to over blinking and in some cases it can be difficult to fully open the eyelids. Botox injections can be administered to the muscles around the eye to improve issues with eyelid closure and these can be administered by the Specialist Orthoptist on a regular basis.

Last updated: March 18, 2019