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Nystagmus in Down Syndrome – a Retrospective Notes Review

Nystagmus has been reported in up to 30% of people with Down Syndrome (DS), and yet is still not well understood. This study, by a team at Moorfields Eye Hospital, aims to characterise the clinical features of patients with DS and nystagmus. It is recently published in the British and Irish Orthoptic Journal (BIOJ).

The article sheds light on the different types of nystagmus which can be present in someone who has DS and, in particular, that these can arise from a variety of causes, not always linked directly with DS.

Full clinical assessment of the nystagmus is needed in order to inform support and management of the sight.

Read the full article in BIOJ online here

What to expect from a visit to an Orthoptist

Orthoptists are trained specialists in diagnosing and providing non-surgical management of disorders of eye movements and associated vision defects.

BIOS, the British and Irish Orthoptic Society, has produced a series of guides to talk you through a typical visit to an Orthoptist. Please click the links below to see your chosen guide.

For people with learning disabilities or autism please select below

Orthoptist, Optometrist or Ophthalmologist?

With all those job titles beginning with ‘O’ it can be a bit confusing trying to work out who does what at the eye clinic. Here’s a handy guide from the British and Irish Orthoptic Society, BIOS:

Orthoptist, Optometrist or Ophthalmologist?

Aside from Orthoptists, there are a number of other professions working in eye health. Unhelpfully they also all begin with ‘O’! This is our brief guide to the main differences between Orthoptists, Optometrists and Ophthalmologists.

What is an Orthoptist?

Orthoptists are the experts in diagnosing and treating defects in eye movement and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes.

They see patients with a wide range of conditions affecting their vision. They are trained to offer a range of treatments, including eye patches, eye exercises, prisms or glasses. They also commonly work with patients with neurological conditions, such as stroke, brain tumours or multiple sclerosis.

The majority of Orthoptists are employed by the NHS in hospitals or community eye services. Although many also work in rehabilitation centres and special and mainstream schools. They will often work in wider eye care teams, alongside Ophthalmologists and sometimes Optometrists.

You can find out more about Orthoptists here.

And how is this different from the other eye care professions?

Ophthalmologists are medically trained doctors that specialise in diseases and injuries in and around the eye. They act both as physicians, diagnosing and prescribing treatments, and surgeons, performing operations. They typically work in eye hospitals and hospital eye departments, often alongside Orthoptists.

Orthoptists will often work collaboratively with Ophthalmologists to investigate and manage diseases of the eyes, with Orthoptists specialising in non-surgical treatment. While Ophthalmologists, as medical doctors, are able to perform complex surgery prescribe a wider range of medicines.

More information can be found on the Royal College of Ophthalmologists website.

Optometrists are trained to examine the eyes to detect defects in vision, signs of injury, ocular diseases or abnormality. They also identify the signs of problems with general health, such as diabetes of high blood pressure. All Optometrists are able to offer clinical advice, prescribe glasses or contact lenses and refer patients for further treatment. They typically work in high street opticians, carrying out eye examinations, but some also work in hospitals or community clinics.

Whereas an Orthoptist is concerned with how the eyes work together and interact with the brain to create vision, Optometrists are primarily focused on the examination of the eye itself.

More information can be found on the College of Optometrists website.

Dispensing opticians are trained to advise on and fit glasses according to a prescription provided by an Optometrist or specialist Ophthalmologist. They are skilled in offering advice on lenses for specific purposes, such as night driving, UV protection or sports and safety wear.

More information can be found on the Association of Dispensing Opticians website.

Online Nystagmus Information Pack – one year on

Last November the University of Sheffield orthoptists launched their online Nystagmus Information Pack to great acclaim. The pack was jointly funded by the University of Sheffield, the British and Irish Orthoptic Society and the Nystagmus Network.

The information is invaluable to patients, parents, teachers and clinicians.

Click here for the Information Pack