Conditions treated by the Ophthalmology department

The Ophthalmology department offers a wide range of clinical services for infants and children with eye disorders.

Cornea and Anterior Segment

Mr Will Moore specialises in the management of inherited and acquired anterior segment and ocular surface disorders of the eye. He performs corneal graft surgery in infants and children. Conditions treated include genetic disorders of the cornea and anterior segment including Axenfeld-rieger syndrome, PAX6 related disease, Peters anomaly, sclerocornea, and the corneal complications of the Mucopolysaccharidoses.

Glaucoma

A specific clinic to treat Paediatric glaucoma is run at Great Ormond street and is currently led by Mr John Brookes. It is linked to specific operating sessions. Medical and surgical treatments offered include drainage angle surgery (goniotomy, 360 degree trabeculotomy), Baerveldt and Ahmed valve tube shunts, and diode laser cycloablation. These are performed by Mr John Brookes in conjunction with the Moorfields Eye Hospital glaucoma team.

Cataract and Lens

The paediatric cataract team at GOSH is led by Professor Chris Lloyd and treats the largest number of infants and children with congenital and acquired cataract in the UK. Children with Ectopia Lentis (dislocated lenses) are also managed. We particularly specialise in infants (children under two years of age). Surgery is performed by Professor Chris Lloyd and Mr Will Moore. There is a dedicated contact lens service for children run by Miss Lynne Speedwell (Lead Optometrist) and we work closely with our partners at Moorfields Eye Hospital particularly in the management of older children. The team also collaborates with the clinical genetic service at Great Ormond Street in the investigation and precise diagnosis of affected children.

See our cataract condition information page.

Neuro-ophthalmology and strabismus

Mr Richard Bowman and Dr Vasiliki Panteli provide care for children with neurological conditions that affect the eye. They also perform surgery for complex strabismus (squint) and eye movement disorders. They work closely with the GOSH Neurosurgeons and craniofacial team, Neurology team, Epilepsy Service, Neuro-developmental vision clinic and Neuro-radiologists.

Conditions treated include Nystagmus (including Kestenbaum surgery where appropriate), Cerebral visual Impairment, Duanes syndrome and the congenital cranial nerve disinnervation disorders, third, fourth, six Nerve palsies, Optic neuritis, optic neuropathies (including Lebers hereditary optic neuropathy and Dominant optic atrophy), and ophthalmic monitoring for children with brain tumours including craniopharyngioma, optic pathway gliomas.

Orbital, Oculoplastic and Naso-lacrimal disorders

Mr Yassir Abou-Rayyah and Ms Sri Gore provide this service at GOSH. They manage children with congenital and acquired orbital disorders, naso-lacrimal duct obstruction, vascular and lympho-venous malformations of the peri-ocular region and orbit (in conjunction with the interventional radiology team) and conditions requiring plastic surgery of the periocular and eyelid regions. They work closely in conjunction with the dermatology, oncology, plastic surgery and craniofacial teams.

Uveitis

Inflammation inside the eye is known as uveitis. Mr Harry Petrushkin leads this service which is jointly run between the GOSH Ophthalmology and Rheumatology departments.

This collaboration has been set up because many inflammatory eye diseases in children also affect the joints and connective tissues and require coordinated medical care. Ms Ameenat Lola Solebo, and Dr Ilaria Testi are also ophthalmic consultants within this service. Mr Petrushkin and Dr Testi also provide uveitis care at Moorfields Eye Hospital, where many of the young people with ongoing uveitis are transitioned (once they are old enough for management in an adult hospital).

Retina and Vitreo-retinal disorders

Mr Chien Wong and Mr Rob Henderson specialise in medical and surgical care of infants and children affected by retinal and vitreo-retinal disorders.

Mr Wong leads the service providing surgical management of infants with retinal detachment following retinopathy of prematurity. Mr CK Patel (Consultant at Oxford Eye Hospital) also supports this service.

Mr Henderson provides a surgical vitreo-retinal service for children with complex retinal disorders and also treats children with inherited retinal disorders and those affected by dual sensory disorders (hearing and retinal disease). He has expertise in gene therapy for inherited retinal disease.

Electrodiagnostic services

Dr Dorothy Thompson (Consultant Vision Scientist) leads the visual electrophysiology and ocular imaging service at GOSH supported by Dr Oliver Marmoy and Dr Sian Handley and an extended team. They provide expert electrodiagnostic services for patients referred - both via the GOSH ophthalmic team - and also as a diagnostic service for external referrals.