Orthoptics Department

Who are we?

Orthoptists work as part of an eye care team at the Sydney and Sydney Eye Hospital.

The Orthoptist:

  • tests and diagnoses eye movement problems
  • treats eye movement problems without having to have surgery


What we do

Orthoptists provide a service for both adults and children. They have experience in eye movement disorders and assessing vision.

The orthoptist can:

  • diagnose eye movement conditions;
  • provide treatment that does not involve surgery;
  • help with rehabiliation of some eye conditions.

Orthoptists work with eye doctors to aid in the diagnosis and management of eye diseases and visual problems.

Orthoptists provide a service for patients in the following areas:

  • vision and eye movement testing of babies and children
  • check the development of vision
  • treats reduced vision (amblyopia) in children caused by eye movement problems
  • diagnosis, treatment and management of eye movement and vision problems
  • visual field testing
  • diagnostic testing for eye disease including glaucoma, cataract and retinal diseases


Who we care for

Orthoptists care for patients of all ages, from a few weeks old to the elderly.

How can an orthoptist help me?

The treatment the orthoptist will offer includes: eye patches, eye exercises, prisms or glasses. They will also help you understand your eye condition. They will teach you ways on how to work around your vision, or eye difficulties.

What do I need to bring to my Visual Field appointment?

  • bring your most current reading and distance glasses
  • a list of any medication that you are taking
  • if you have problems understanding English, we can organise an interpreter for you

What is amblyopia?

Amblyopia is a reduction in the vision of one or both eyes due to an interruption to the normal visual development that may occur in the during a child’s visual development. It is important to treat amblyopia, before age seven to gain the best improvement.

What is strabismus/squint?

Strabismus (squint, turn or lazy eye) refers to the problems in the movement of the eyes causing your eyes to look in different directions. A squint may prevent the eyes from working together as a pair (binocular vision) and in some cases can affect eye sight in children.

Can you help me with my double vision?

Diplopia (double vision) can occur for many different reasons, including damage to the nerves that supply the eye muscles and problems with the eye muscles themselves, trauma to the eye muscles just to name a few. Often temporary prisms are fitted to the glasses to relieve diplopia (prism therapy). The orthoptist monitors the prism therapy as diplopia often changes and can improve in some cases.

How do I clean my prism?

Prisms need to be removed from glasses to be cleaned. To clean use warm soapy water then rise the prism with water. Whilst still damp place the smooth side of the prism of the inside of the glasses lens, press the prism down and push out the air bubbles. Allow prism to air dry / dry with kitchen towel. To prevent scratching the prism do not use harsh abrasives or lens cleaner.

What do I do if my double vision has become worse or changed?

If your double vision changes i.e. separation of double image increases, or direction of double vision changes then please contact us or attend the emergency department.