We assess and treat a wide range of eye problems in children such as conditions which affect the way the eyes move (squint, lazy eye and double vision), refractive errors (need for glasses) and other conditions such as juvenile arthritis, sticky eyes, neurological problems, retinopathy of prematurity, lid abnormalities, retinal diseases, loss of red reflex and poor visual development. Treatment may consist of prescribing glasses, occlusion therapy (patching), drops or surgery (to straighten the eyes).


Jenny Lind fish 2

Clinical Team

Our paediatric service is led by Mr Narman Puvanachandra, Consultant Paediatric Ophthalmologist and Fiona Grady, Head Orthoptist. Our team consists of a specialist registra, optometrist and seven orthoptists. We also continue to have the services of our previously retired Consultant Paediatric Ophthalmologist Mr Nick Astbury on a part time basis.

Alongside our regular paediatric clinics we also run a Visual Impairement clinic and a visual screening service for children with Down’s Syndrome both are led by our Deputy Head Orthoptist Tracey Salisbury.

As well as the paediatric clinics held at the hospital our team of orthoptists run a visual screening service in the community for 3½ year olds who have a positive family history of eye problems. Our team of orthoptists along with Mr Nick Astbury also visit special educational needs schools within Norfolk to ensure eye problems are picked up and hopefully treated without the children having to attend the hospital.


How you can access our services

A child can be referred to the children’s eye service by their GP, Optician, School Nurse or by the Visual Screening clinics. Health Visitors will refer to the visual screening service.



  • Biofeedback in 2000
  • Ambyopia Treatment Trial 2000
  • Intermittent Distant Exotropia Treatment Trial 2003

Clinical Guidelines

  • Vision Assessment in Children with Down’s


Useful Web Links

British and Irish Orthoptic Service (BIOS)

Opening Times

Mon-Thurs 9am-5pm
Fri 9am-12:30pm


Contact details

Main Telephone Number: 01603 288046
Alternative Telephone Number: 01603 288048
Email: fiona.grady@nnuh.nhs.uk