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Ophthalmic Support Services

Eye Examination 

Our Services


Description

Optometrists are Allied Health Professionals trained in correcting vision in adults with the use of spectacles, lenses or special lenses, are responsible for the screening of eye disease and are the first point of reference before patients are referred to the Ophthalmologist. The Optometrist can work independently as well as part of a team specially when working within a hospital environment
 
Orthoptists are Allied Health Professionals who are trained to diagnose and treat ocular motility (eye movement) and problems related to the development of vision such as:
  • Amblyopia (lazy eye) - a reduction in vision arising from a defect present in infancy or early childhood.
  • Defective binocular vision - the inability to use the two eyes together.
  • Abnormal eye movements arising from injury or disease affecting the eye muscles or nerve supplying the muscles.
  • Diplopia (double vision) resulting from abnormal eye movements or strabismus (squint).
 
Orthoptists are the experts in childhood vision screening, and undertake primary screening of children aged four to five years. Orthoptists are skilled in performing and interpreting a variety of diagnostic procedures where an underlying ophthalmological condition exists. 
 
 
Ocular prosthetics is also an Allied Health Care profession. Ocularists or Ocular Prosthetists specialize in the fabrication and fitting of ocular prosthesis for people who have lost one or rarely both eyes through disease or trauma.

The fabrication process for the custom made eye includes:
  • Taking an impression of the eye socket
  • Shaping a wax shell
  • Painting of the iris (the coloured part of the eye) and the conjunctival veins
  • Fitting the prosthesis.

The ocularist is responsible for instructing the patient on how to care and handle prosthesis (artificial eyes).
 
The objective of this service is to help a person aesthetically to continue living his or her life integrated in the society.
 
 
Procedure
 
Any person who has problems with eye movements or visual problems benefit from this service and can be referred by an Ophthalmologist, Neurologist or Paediatrician within the Department of Health or by his/her family doctor.
 
 
Eligibility
 
All Maltese citizens or foreigners holding a residency permit can be referred to benefit from Orthoptic services. For the provision of spectacles, a person must be in possession of the Schedule ll (Pink) form issued by the Department of Social Services.
 
 
Required Documents
 
ID card, and The Pink Form (Schedule ll) 
 
 
Back Office Process
 
All referrals are initially sent to the front desk in the main foyer of Mater Dei Hospital. These referrals are distributed to the consultants who then vet these referrals and are sent to the respective clinic (Orthoptic or Optometric). However, since the service at MDH is reserved for complicated Ophthalmic cases, most referrals initiate from the Ophthalmologists working at the Ophthalmology department. Following this an appointment is sent to the patients according to priority as determined by the consultants.

If a patient fails to show up for his/her appointment, no further communication is sent. It is then the responsibility of the patient or the guardian in case of minors, to arrange for a repeat appointment.
 
In the case of Ocular Prosthetics, details of patients are noted from referrals. Priority is given to emergency cases. Appointments are then given to patients and each patient is contacted by telephone. All details are kept on a computer system and the number of times a service is provided to an individual is also recorded. At the first consultation a patient is assessed, and a proper planned procedure is decided. The patient has to attend at least four to five sessions before completion of work. During these sessions, measurements, colouring are taken and drawn. After the last session, work will be given to the client after fifteen days. After the prosthesis is given and put in place, the patient is instructed what to do and not to do. He or she are instructed how to take care of the prosthesis. They later have frequent reviews. All the work is done locally.
 
 
Frequently Asked Questions
 
Question: Where is Ocular Prosthetics Department?
Answer: It is situated in the Ophthalmic Outpatients Department at Mater Dei Hospital.
 
Question: Would I be able to wear it by myself?
Answer: Before leaving the clinic, proper instructions and hands on tutorial is given. It is made sure that the prosthesis is put on at least once by the patient himself in the clinic. 
 
Question: Do I have to wear the prosthesis at all times?
Answer: It depends on the case itself. Normally yes but sometimes there is the need to remove it due to infections or allergies.
 
 
Downloads
 

How to Contact Us


Optometry
Ocular Prosthetics
Orthoptics​

You can contact us by: ​

  • Coming personally to our office
  • Contacting us via phone or fax 
  • Writing to us 

​When you visit our Office we will:
  • Be quick, courteous and helpful
  • Welcome you in a clean and friendly environment.

When you phone us you can expect us to:
  • Answer promptly
  • Identify ourselves.​ 
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