Mr. Chandna specialises in the assessment and non-surgical management of cerebral visual impairment (CVI), adult brain-based visual disorders, strabismus (eye misalignment), and amblyopia (“lazy eye”). Both children and adults are seen.

Yes—specialist neuro-ophthalmic assessment is available.

Mr Chandna does see non-surgical routine eye problems if necessary, however this is a specialist service dedicated to Cerebral Visual Impairment, Strabismus (Squint) and Amblyopia in children and adults. Routine appointments are usually offered as a one-off appointment, guidance and help direct you to the right provider if needed.

Cerebral Visual Impairment (CVI) is a condition in which the brain has difficulty processing visual information, even though the eyes themselves are healthy. It is usually caused by some form of brain injury, often linked to events during or shortly after birth, including preterm birth.

CVI is an umbrella term covering many different causes and also each individual is unique in their challenges with vision. CVI can arise from many different types of brain injuries such as those caused by lack of oxygen at birth, or by genetic conditions that affect the development of the brain. This is called early onset CVI. Late onset cerebral visual impairment again might arise from other injuries in the brain from concussion, or by brain conditions such as tumors strokes and brain infections.

Although visual sharpness (visual acuity) may sometimes be affected, the main challenges in CVI relate to spatial awareness and movement. People with CVI may struggle with everyday activities such as walking through doorways, avoiding obstacles, and navigating busy or crowded places. Tasks like crossing the road or going down stairs can be particularly difficult due to problems with depth perception, motion perception, and spatial orientation, which often leads to visual fatigue. Each child and adult with CVI is unique and a thorough investigation of their visual challenges, especially challenges in everyday vision defines the profile for that individual CVIer.

There is still much to learn about CVI, and more information and support are available. You are welcome to email us for further guidance, or visit CVI Society and CVI Scotland.

Parent and Child Discussion Group
A group for parents of children and children with Cerebral/Cortical Visual Impairment (CVI) and Adult CVIers supported by clinicians, researchers and teachers of the visually impaired. If interested, please register for meetings at the link on the website.
CVIers Seelab

Yes. CVI is not limited to children or to events around birth. Adults can develop CVI if the brain becomes affected later in life through events such as a stroke, a head injury, a period of reduced oxygen, certain infections, or other neurological conditions. This means that even someone who has had normal vision for most of their life can develop CVI if the parts of the brain responsible for visual processing become damaged.

Mr. Chandna provides comprehensive assessment and management for strabismus (eye misalignment) and amblyopia (lazy eye). This includes refraction (eye testing), prescription eyeglasses, the use of prisms for certain types of double vision (diplopia), occlusion therapy such as patching for lazy eye designed to support eye coordination and visual function.

Yes. Non-surgical options are part of the treatment which may include prism, prescription spectacles to reduce double vision. Patients are supported with practical strategies and personalised plans.

Yes, surgery may be and, is often needed for strabismus and diplopia during management. With a practice limited to medical management, I have no conflict of interest. Surgical options are discussed transparently, with recommendations made solely in the patient’s best interest.

For appointments remote or in-person:
Please complete the brief form on our contact page
Or you may wish to write an email with details to info@arvindchandna.com

Remote consultations will be arranged via zoom by Mr Chandna’s office, when needed.

In-person consultations will be at: Lymm Eye Clinic. 16a The Cross, Lymm, Cheshire WA13 0HU.

Yes. Mr. Chandna provides a written report which will include clear, accessible reports for care planning, schools, healthcare teams, and medico-legal needs.

Please do write to us at info@arvindchandna.com