Attending the orthoptics meeting at the 2024 RANZCO Congress in Adelaide was an inspiring opportunity to explore the latest research, clinical insights and practical approaches to eyecare, alongside colleagues equally passionate about advancing our profession. These are some of my standout themes and key takeaways.
One of the most pressing issues in paediatric eyecare is the long wait times for specialist appointments, which can delay critical diagnoses and interventions. Cathy Lewis, chief orthoptist at the Royal Children’s Hospital (RCH) in Melbourne, presented on a collaborative care model to provide a forward-thinking solution to this problem. By establishing student-led clinics at La Trobe University’s Orthoptic Eye Clinic and Melbourne University’s Eyecare Clinic, RCH has effectively reduced waitlists for conditions such as strabismus, amblyopia and juvenile arthritis screenings.
These clinics streamline patient flow through structured referral pathways, enabling faster access to care. Additionally, the model incorporates digital learning tools for continuous clinician education, ensuring orthoptists stay updated with interactive resources. This comprehensive approach is a fantastic example of how collaborative care, combined with digital resources and dedicated funding, can significantly improve service delivery in paediatric eyecare. It’s a model I hope other institutions will consider, especially as we work to address the demand for timely, effective care in our field.
Outdoor time, myopia and pterygium: finding the balance
The benefits of outdoor time in delaying the onset of myopia was a recurring theme, with the recent Guangzhou Outdoor Activity Longitudinal (GOAL) and Recess Outside Classroom (ROC) studies underscoring its importance. Research presented by Professor Kathryn Rose, University of Technology Sydney, showed an additional 40–80 minutes outdoors each day can help prevent myopia, with seasonal trends indicating children’s myopia progression slows during summer, highlighting the protective role of natural light. The recommendation to encourage at least two hours of daily outdoor time in young children came through loud and clear.







