Contact Alison Bruce -


Early developing literacy skills are an indicator of future educational achievement; we are assessing the impact of poor vision on children’s developing literacy skills. 



This project aims to explore with parents and carers how they access children’s eye care and their thoughts about their children wearing glasses.  





1.     vision screening data has been linked to epidemiological literacy data for 2000 children and found an association between poor vision and low literacy scores on school entry (age 4-5 years; paper published).


2.     A subgroup of 800 children from the original 2000 in this study have been followed up for three years to explore the long term impact of poor vision on literacy; analysis is underway.


3.     Interviews with parents/carers and professionals regarding attendance and compliance to the treatment of children’s eye conditions have been conducted.  Initial analysis suggests a key barrier was parent’s lack of acceptance of their child’s need for glasses. 



4.     Dr Alison Bruce has been awarded The Royal Society of Medicine “Squint Forum Prize 2016” for this research.


A number of interventions to improve adherence to treatment are being considered including provision of glasses in the school classroom. 




  • Alison Bruce, Lesley Fairley, Bette Chambers, John Wright, Trevor Sheldon.  The Impact of Visual Acuity on Developing Literacy at age 4-5 years: a cohort nested cross sectional study.  BMJ Open.  Feb 2016
  • Alison Bruce, Gillian Santorelli.  Prevalence and risk factors of Stabismus in a UK multi-ethnic Birth cohort. Strabismus 2016 Dec;24(4):153-160