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Health Diagnosing Occupations & Assistants

Job: Optometrists

Job profile: Optometrists examine people's eyes to diagnose vision problems and eye diseases. They use instruments and observation to examine eye health and to test patients' visual acuity,  depth  and  color  perception,  and  their ability  to focus and coordinate the eyes.

They analyze test results and develop a treatment plan. Optometrists prescribe eyeglasses and contact lenses, and provide vision therapy and low vision rehabilitation. They use drugs for diagnosis of eye vision problems and prescribe drugs to treat some eye diseases. Optometrists often provide pre- and post-operative care to cataract and other eye surgery patients. They also diagnose conditions due to systemic diseases such as diabetes and high blood pressure, and refer patients to other health practitioners as needed.

Optometrists should not be confused with ophthalmologists or dispensing opticians. Ophthalmologists are physicians who perform eye surgery, and diagnose and treat eye diseases and injuries. Like optometrists, they also examine eyes and prescribe eyeglasses and contact lenses.

What do I have to do to get this job?

Educational qualification: Applicants for a license must have a Doctor of Optometry degree from an accredited optometry school and pass both a written and a clinical State board examination.

Work environment: Optometrists work in places—usually their own offices—that are clean, well lighted, and comfortable. The work requires attention to detail and good manual dexterity. Most full-time optometrists work about 40 hours a week, but a substantial number work more than 50 hours a week. Many work Saturdays and evenings to suit the needs of patients, but emergency calls are rare.

How much will I be paid when I start?

Incomes vary depending upon location, specialization, and other factors. Salaried optometrists tend to earn more initially than optometrists who set up their own independent practice. In the long run, those in private practice generally earn more.

What is the future with this job?

Employment of optometrists is expected to grow about as fast as the average for all occupations through the year 2006 in response to the vision care needs of a growing and aging population. As baby boomers age, they will be more likely to visit optometrists and ophthalmologists because of the onset of vision problems in middle age, including computer-related vision problems. The demand for optometric services will also increase because of growth in the oldest age group, with their increased likelihood of cataracts, glaucoma, diabetes, and hypertension. Employment of optometrists will also grow due to greater recognition of the importance of vision care, rising personal incomes, and growth in employee vision care plans.

Employment of optometrists would grow more rapidly were it not for anticipated productivity gains, which will allow each optometrist to see more patients. These gains will result from greater use of optometric assistants and other support personnel, and the introduction of new equipment and procedures. New surgical procedures using lasers are available that can correct some vision problems, but they remain expensive.

In addition to growth, the need to replace optometrists who leave the occupation will create employment opportunities. Relatively few opportunities from this source are expected, however, because most optometrists continue to practice until they retire; few transfer to other occupations.

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