History of orthoptics

BIOS Archives (1)

Orthoptics, as a specialised field of healthcare, has a rich and fascinating history. It focuses on the assessment, diagnosis, and treatment of disorders related to binocular vision and eye movement. This discipline has evolved significantly over the years, blending scientific innovation, clinical expertise, and a commitment to improving patients’ quality of life.

Early beginnings and the role of Mary Maddox

The foundations of orthoptics were laid in the early 20th century, with Mary Maddox being a pivotal figure in the development of the profession. Mary Maddox, the daughter of the renowned ophthalmologist Ernest Maddox, is often credited with establishing orthoptics as a distinct healthcare discipline. She recognised the need for a systematic approach to diagnosing and treating binocular vision disorders and was instrumental in developing techniques and training programs that formalised the practice.

In 1928, Mary Maddox founded the first orthoptic clinic at the Royal Westminster Ophthalmic Hospital in London. Her pioneering efforts not only improved patient care but also established a framework for training orthoptists. This initiative laid the groundwork for the professionalisation of orthoptics, with structured training programmes and the establishment of professional organisations.

H.M. Queen Elizabeth II during her visit to Moorfields Westminster and Central Hospital, 17 March 1955, on 150th anniversary of the foundation of Moorfields Eye Hospital. Pictured with orthoptist Sheila Mayou.

The formation of BIOS

The British and Irish Orthoptic Society (BIOS) was formed to represent and support orthoptists across the UK and Ireland. BIOS has played a central role in advancing the profession, providing education, promoting research, and advocating for the essential role orthoptists play in healthcare. Over the years, BIOS has contributed to the growth of orthoptics through initiatives such as the development of professional standards, workforce planning, and ongoing education.

Exploring the Orthoptic Archives

The BIOS Orthoptic Archives serve as a treasure trove of historical documents, photographs, and records that chart the evolution of orthoptics as a profession. These archives provide invaluable insights into the early practices, challenges, and milestones that have shaped orthoptics. They are a testament to the dedication and innovation of past orthoptists whose contributions continue to influence the profession today.

The Plaque of Past and Present Chairs

BIOS owes much of its success to the leadership and vision of its past chairs. Their guidance has been instrumental in steering the society through changing times and ensuring its continued relevance. A virtual list of past chairs is available to honour their contributions and celebrate their legacy.

Chairs of BIOS

1937 – 1938 Miss S Mayou
1938 – 1942 Miss S Jackson
1942 – 1946 Miss G Vaughton
1946 – 1949 Miss S Mayou
1949 – 1956 Mrs E Gwilt MBE
1956 – 1967 Miss B M Lee
1967 – 1972 Miss J Mein
1972 – 1973 Mrs A Macleod
1973 – 1974 Miss J Mein
1974 – 1981 Mrs C Calcutt

1981 – 1987 Mrs J Clayton
1987 – 1992 Mrs R Dickson
1992 – 1998 Mrs J Voller
1998 – 2001 Ms C Timms
2001 – 2004 Mrs J Carpenter
2004 – 2010 Ms R Auld CBE
2010 – 2014 Mrs L A Baxter
2014 – 2017 Mrs R McNamara
2017 – 2023 Mrs V Greenwood OBE
2023 – present Mr C Murray

Orthoptics today

From its modest beginnings, orthoptics has grown into a vital component of modern eye care. Orthoptists now work across diverse settings, including hospitals, clinics, schools, and research institutions, addressing a wide range of visual and neurological conditions. The profession continues to evolve, embracing new technologies and expanding its scope to meet the needs of patients in an ever-changing healthcare landscape.

The history of orthoptics is not just a chronicle of past achievements but also a source of inspiration for the future. By reflecting on its rich heritage, the profession can continue to innovate and adapt, ensuring that orthoptics remains at the forefront of eye care for generations to come.

Orthoptist using head-mounted ophthalmoscope to assess child's vision.