Paediatric Eye Department FAQs

Please see the link below to our new leaflet regarding admission advice for children and young people booked for surgery in the children’s ward of Richard Desmond Children’s Eye Centre (RDCEC)

Paediatric advice leaflet to pre-op families

What is happening with appointments during the COVID-19 pandemic?

• We are cancelling all appointments during this period. We will be contacting patients with high risk eye problems to attend hospital, those not in this category will be contacted to rebook their appointment or undertake a telephone or video consultation.

• We will be rebooking appointments as soon as it safe to do so.

• Every single patient’s notes are being checked by your consultant to ensure we arrange your next appointment in a safe way.

• If you have specific queries regarding bookings please contact: moorfields.covid19bookingenquiry@nhs.net

My child's appointment has been converted to a telephone or video consultation review, what should I do and when will it be?

• Due to the current demand on the service we are unable to tell everyone now what day and time we will contact you. We will contact you on the contact number provided on patient registration as soon as we can. This will be between 9am-5pm on Mondays to Fridays. If you have any urgent concerns that your child’s condition is worsening, please contact us as below.

Urgent eye problems

Please DO NOT attend the hospital without arranging first, unless it is an emergency. We will turn away patients from our eye casualty with non-emergency conditions.

Please contact us first for a video consultation or call the telephone advice line on the details below

Urgent eye problems should be dealt with your local eye unit. We are providing a service for whom Moorfields is the local eye unit, or if your child is a patient under Moorfields

Urgent ophthalmology video consultations – 9:00-12:30 and 13:30-17:00 Monday to Friday, 10:00 to 16:00 Saturday and Sunday. These can be undertaken using ‘attend anywhere’ at the following link:
https://www.moorfields.nhs.uk/emergency-care

Urgent Paediatric ophthalmology video consultations – 9:00-12:30 and 13:00-16:00pm Monday to Friday (from Wednesday 29th April). These can be undertaken using ‘attend anywhere’ at the following link:
https://www.moorfields.nhs.uk/emergency-care

Paediatric nurse-led advice line, for general advice or if you are worried you child’s eye condition is getting worse – 9.00-16.00 – 10:00-13:00 and 14:00-16:00 Monday to Friday
020 7253 3411 ext. 4569

General nurse-led helpline, for when the paediatric line is closed – 8.30-21.00 Monday to Friday, 9.00-17.00 Saturdays
020 7566 2345

Out of normal working hours contact the A&E Department on
020 7253 3411

Weblink for patient information leaflets: https://www.moorfields.nhs.uk/service/children-s-services-paediatrics

If you are advised to attend our eye casualty, please be advised that only one family member should attend with the child. On arrival you will be asked why you are attending the hospital, your temperature will be checked, and you will requested to wear a face mask.

Paediatric eye casualty - open for emergencies only 9am - 4pm Monday to Friday
Richard Desmond Children's Eye Centre at Moorfields Eye Hospital
3 Peerless Street
London
EC1V 9EZ
Main eye casualty - open for emergencies only 24 hours a day 7 days a week
Ground Floor Moorfields Eye Hospital
162 City Road
London
EC1V 2PD

Specific questions for eye problems

Glasses & Refractive Error

• My child’s glasses are broken?

Ideally your child should keep wearing their glasses. Please try to get the glasses mended or replaced by your local optician Phone before visiting though, as some local opticians have now closed.
If your child needs glasses from Moorfields please contact optometry before attending the hospital on 0207 2566 2103/ 2104 or email Moorfields.spectacles@nhs.net. They may be able to post a pair of replacement glasses out to you.

Squint

• My child has developed a new turn in the eye (squint) - what should I do?

This should be assessed soon. Please request an urgent video consultation at https://www.moorfields.nhs.uk/emergency-care or out of hours contact the A&E department on 020 7253 3411. If necessary we can arrange a specialist telephone or video consultation or advise a visit to our A&E department.

• My child has a squint and was told that they require surgery - when will it happen?

We have cancelled all surgery (except for emergency procedures). We will be in contact when it is safe for us to restart undertaking other eye surgery

• My child’s squint is getting worse - what should I do?

This could be assessed initially by a telephone or video consultation. Please contact the orthoptic department on 020 7566 2163 for Moorfields City Road or for Moorfields St Georges 020 8266 6120. Or request a video consultation at https://www.moorfields.nhs.uk/emergency-care

• My child was given eye exercises last time – what should I do?

If symptoms of headaches and blurred vision have gone, it is fine to stop the exercises but restart if things worsen. Otherwise or if unsure, please continue exercises for now until the next clinical appointment or contact as above for a telephone/video consultation.

Amblyopia (lazy eye)

• I was told that my child requires patching but I am not sure if I should keep doing this?

Please continue with the patching as instructed in clinic until your next appointment. You will receive a phone consultation to discuss progress in due course. If your child reports double vision please STOP PATCHING and contact the orthoptic department (see below) for advice.

• I have run out of patches for my child - how do I get more?

These can be posted out to you. Please contact your orthoptic department:

RDCEC City Road Orthoptic department on 020 7566 2163 / 2164 or email:
Moorfields.orthopticdepartment@nhs.net

St Georges Hospital Orthoptic department Tel 020 8266 6120 or email:
moorfields.stgeorgesorthoptic@nhs.net

Croydon MayDay Orthoptic Department on email: moorfields.croydonorthoptics@nhs.net

• I have run out of atropine eye drops for my child - how do I get more?

We are changing patients from atropine drops to patching temporarily. The Orthoptic department will contact you and forward eye patches accordingly.

Blepharitis

• My child has blepharitis - I am not sure if I should keep cleaning the eyelids and putting in the eye drops or taking the medicine/tablets?

Blepharitis is a long-term condition - please continue with lid cleaning, warm compresses and eye drops and/or medicine/tablets as instructed at your child’s last appointment. If your child is on steroid drops, please keep using them as prescribed. We will provide further advice via telephone or video consultation for those we feel need to change how they use these drops.
Information leaflet available at: https://www.moorfields.nhs.uk/sites/default/files/Blepharitis%20teens%20...

• I have run out of eye drops - how can I get more?

Please request a repeat prescription from your GP (they will have received a letter from Moorfields detailing your child’s eye drops)

• I am not sure which drops my child should be using - can someone advise me?

Please contact us on our paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri

• My child’s eyes seem to be getting more red and sore - what should I do?

Please request a video consultation at https://www.moorfields.nhs.uk/emergency-care or contact the paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri, or the A&E department out of hours on 020 7253 3411

Chalazion

• My child has had a lump on the eye lid which I was told was a chalazion (lid cyst) and it hasn’t gone away - what should I do?

This is not a harmful condition and these lumps usually gradually shrink with time. Warm compresses may help (Information leaflet available at: https://www.moorfields.nhs.uk/sites/default/files/Chalazion-for%20parent...).
Most children do not need chalazion surgery. If your child is under 6, and has a upper lid cyst large enough to prevent them seeing out of their eye (this is very unusual) please contact us for video consultation at https://www.moorfields.nhs.uk/emergency-care or call the paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri

• My child’s chalazion seems to be getting larger and the whole eyelid is becoming very swollen, red and hot - what should I do?

Please contact us at https://www.moorfields.nhs.uk/emergency-care for a video consultation, or call the paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri, or the A&E department out of hours on 020 7253 3411. Alternatively, if it is severe, please visit our A&E department

Blocked tear duct

• My child has a watery eye from a blocked tear duct - how will it be managed?

This is not a harmful condition. Please massage, the side of the nose, keep cleaning the lids to remove the discharge, and apply a paraffin-based cream such as Vaseline to the lid skin at the corner of the eye to waterproof it if the skin gets red and sore. An information leaflet is available at: https://www.moorfields.nhs.uk/sites/default/files/Blocked%20tear%20ducts...

If the skin around the eye becomes very red, swollen and hot, or if the white of the eye goes very red this may be an infection and your child may need antibiotics. Please contact us at https://www.moorfields.nhs.uk/emergency-care for a video consultation, the paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri, or the A&E department out of hours on 020 7253 3411

Allergic eye disease

• My child has allergic eye disease and the appointment has been delayed, what should I do?

Please continue with drops as prescribed in clinic. Your GP should continue to provide repeat prescriptions. If you are having problems obtaining the drops please contact Moorfields Pharmacy on 020 7566 2361 or moorfields.pharmacyhelpline@nhs.net, Monday to Friday, 9am-5.30pm (except bank holidays) for advice and guidance.

• My child has allergic eye disease and the eyes are becoming more red, sore and itchy despite using the drops - what should I do? .

Please contact us at https://www.moorfields.nhs.uk/emergency-care or call the paediatric helpline on 020 7253 3411 ext. 4569 10:00-13:00 & 14:00-16:00 Mon-Fri, or out of hours the A&E department on 020 7253 3411. If necessary we can arrange a telephone or video consultation or advise a visit to our A&E department.

• My child has allergic eye disease and we have run out of drops. What should I do?

Please ask the GP to issue the repeat prescription for eye drops. If you have problems please contact Moorfields Pharmacy on 020 7566 2361 or moorfields.pharmacyhelpline@nhs.net, Mon-Fri 9am-5.30pm (except bank holidays) for advice and guidance.

Cataract

• My child had cataract surgery previously and wears contact lenses, should I continue putting them in?

Yes please continue with contact lens wear and patching, as long as the eye is not inflamed, i.e. as long as the white part of the eye looks white, not red.

• My child wears contact lens from the hospital and I have run out of lenses/solution, what should I do?

Please call us on 0207 566 2100 and select option 3 (contact lenses) or email: moorfields.contactlenses@nhs.net

• My child wears contact lenses and their eyes are red/sore, what should I do?

DO NOT insert the contact lens in their eye and if there is a lens in the eye, it MUST be removed. Please contact A+E as above for an urgent review

Glaucoma

• My child’s glaucoma clinic appointment has been delayed, what should I do?

Please continue with drops as prescribed in clinic. Please ask the GP if they are able to issue repeat prescription. You can also contact Moorfields Pharmacy 0207 566 2361 or moorfields.pharmacyhelpline@nhs.net, Mon-Fri 9am-5.30pm (except bank holidays) for advice and guidance on medication.

• My child had glaucoma surgery and now their eyes are red/sore/painful, what should I do

Please phone us in the RDCEC on 020 7566 2595 Monday to Friday 8am – 5pm or request a video consultation at https://www.moorfields.nhs.uk/emergency-care. If necessary we can arrange specialist input or advise a visit to our A&E department.

Last updated: 29th September 2020