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Ask the Doctor - January columns

Sunday 31st January - Child Squint

My child’s eyes are turning inwards. How quickly should I seek medical advice and what treatment might my child require?

Carol, Tranent

Dr Alan Mulvihill is a Consultant Ophthalmologist at Spire Murrayfield Hospital.

Eye turns, or squints, are the commonest reason for children to see an ophthalmologist (eye surgeon). Many children have eye turns in the first few months of life as their vision is blurred, but these should disappear by four months of age.

If a child has a squint, they need a complete eye examination including measurement of vision and dilating drops to examine the back of the eyes and to do a refraction test (glasses measurement). Most children with in-turning eyes are quite far-sighted and are first given their full glasses prescription. They may also require patching of one eye for several hours per day if the turning eye has reduced vision.

Finally, if the eyes are not straightened by glasses and patching, then squint surgery is sometimes required. This involves operating on some of the eye movement muscles. The operation requires a general anaesthetic but can be done as a day case operation.

Sunday 24th January - IVF

IVF I am 35 years old and struggling to have a baby - what should I do?

Jill, St Andrews

Dr Joo Thong is Sub-Specialist in Reproductive Medicine at IVF Scotland.

If you are 35 years old and have been trying to conceive for more than three years, it is likely that you may need help to conceive. Factors that can cause infertility include: tubal damage, sperm disorders, ovulation disorders, endometriosis and unexplained, which means, following investigation, no known causes are identified for your infertility. How we manage your treatment will depend on the causes of your infertility. Suitable treatment options may include In-vitro Fertilisation (IVF), Intra-Cytoplasmic Sperm Injection (ICSI), Intra-Uterine Insemination (IUI) or Donor Insemination (DI). The important thing is that you and your partner, if appropriate, undergo investigations as soon as possible. At your age, your fertility will continue to decline, so it is important that you identify the causes of your infertility quickly. You can find out more information about fertility treatment at IVF Scotland by visiting the website: www.spirehealthcare.com/ivfscotland

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