Optometrists
Optometrists, also known as doctors of optometry, or ODs, provide most primary vision care. They examine people’s eyes to diagnose vision problems and eye diseases, and they test patients’ visual acuity, depth and color perception, and ability to focus and coordinate the eyes. Optometrists prescribe eyeglasses and contact lenses and provide vision therapy and low-vision rehabilitation. Optometrists analyze test results and develop a treatment plan. They administer drugs to patients to aid in the diagnosis of vision problems and prescribe drugs to treat some eye diseases. Optometrists often provide preoperative and postoperative care to cataract patients, as well as to patients who have had laser vision correction or other eye surgery. They also diagnose conditions caused by systemic diseases such as diabetes and high blood pressure, referring patients to other health practitioners as needed.

Optometrists should not be confused with ophthalmologists or dispensing opticians. Ophthalmologists are physicians who perform eye surgery, as well as diagnose and treat eye diseases and injuries. Like optometrists, they also examine eyes and prescribe eyeglasses and contact lenses. Dispensing opticians fit and adjust eyeglasses and, in some States, may fit contact lenses according to prescriptions written by ophthalmologists or optometrists.

Most optometrists are in general practice. Some specialize in work with the elderly, children, or partially sighted persons who need specialized visual devices. Others develop and implement ways to protect workers’ eyes from on-the-job strain or injury. Some specialize in contact lenses, sports vision, or vision therapy. A few teach optometry, perform research, or consult.

Most optometrists are private practitioners who also handle the business aspects of running an office, such as developing a patient base, hiring employees, keeping paper and electronic records, and ordering equipment and supplies. Optometrists who operate franchise optical stores also may have some of these duties.

Working Conditions
Optometrists work in places—usually their own offices—that are clean, well lighted, and comfortable. Most full-time optometrists work about 40 hours a week. Many work weekends and evenings to suit the needs of patients. Emergency calls, once uncommon, have increased with the passage of therapeutic-drug laws expanding optometrists’ ability to prescribe medications.

Training, Other Qualifications, and Advancement
All States and the District of Columbia require that optometrists be licensed. Applicants for a license must have a Doctor of Optometry degree from an accredited optometry school and must pass both a written National Board examination and a National, regional, or State clinical board examination. The written and clinical examinations of the National Board of Examiners in Optometry usually are taken during the student’s academic career. Many States also require applicants to pass an examination on relevant State laws. Licenses are renewed every 1 to 3 years and, in all States, continuing education credits are needed for renewal.

The Doctor of Optometry degree requires the completion of a 4-year program at an accredited optometry school, preceded by at least 3 years of preoptometric study at an accredited college or university. Most optometry students hold a bachelor’s or higher degree. In 2004, 17 U.S. schools and colleges of optometry offered programs accredited by the Accreditation Council on Optometric Education of the American Optometric Association.

Requirements for admission to schools of optometry include courses in English, mathematics, physics, chemistry, and biology. A few schools also require or recommend courses in psychology, history, sociology, speech, or business. Because a strong background in science is important, many applicants to optometry school major in a science such as biology or chemistry, while other applicants major in another subject and take many science courses offering laboratory experience. Applicants must take the Optometry Admissions Test, which measures academic ability and scientific comprehension. Admission to optometry school is competitive. As a result, most applicants take the test after their sophomore or junior year, allowing them an opportunity to take the test again and raise their score. A few applicants are accepted to optometry school after 3 years of college and complete their bachelor’s degree while attending optometry school.

Optometry programs include classroom and laboratory study of health and visual sciences, as well as clinical training in the diagnosis and treatment of eye disorders. Courses in pharmacology, optics, vision science, biochemistry, and systemic disease are included.

Business ability, self-discipline, and the ability to deal tactfully with patients are important for success. The work of optometrists requires attention to detail and manual dexterity.

Optometrists wishing to teach or conduct research may study for a master’s or Ph.D. degree in visual science, physiological optics, neurophysiology, public health, health administration, health information and communication, or health education. One-year postgraduate clinical residency programs are available for optometrists who wish to obtain advanced clinical competence. Specialty areas for residency programs include family practice optometry, pediatric optometry, geriatric optometry, vision therapy and rehabilitation, low-vision rehabilitation, cornea and contact lenses, refractive and ocular surgery, primary eye care optometry, and ocular disease.

Employment
Optometrists held about 34,000 jobs in 2004. The number of jobs is greater than the number of practicing optometrists because some optometrists hold two or more jobs. For example, an optometrist may have a private practice but also work in another practice, in a clinic, or in a vision care center. According to the American Optometric Association, about three-fourths of practicing optometrists are in private practice. Although many practice alone, optometrists increasingly are in a partnership or group practice.

Salaried jobs for optometrists were primarily in offices of optometrists; offices of physicians, including ophthalmologists; and health and personal care stores, including optical goods stores. A few salaried jobs for optometrists were in hospitals, the Federal government, or outpatient care centers including health maintenance organizations. Almost one third of optometrists were self-employed and not incorporated.

Job Outlook
Employment of optometrists is expected to grow faster than average for all occupations through 2014, 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 those resulting from the extensive use of computers. The demand for optometric services also will increase because of growth in the oldest age group, with its increased likelihood of cataracts, glaucoma, diabetes, and hypertension. Greater recognition of the importance of vision care, along with rising personal incomes and growth in employee vision care plans, also will spur job growth.

Employment of optometrists would grow more rapidly were it not for anticipated productivity gains that will allow each optometrist to see more patients. These expected gains stem from greater use of optometric assistants and other support personnel, who will reduce the amount of time optometrists need with each patient. Also, laser surgery that can correct some vision problems is available, and although optometrists still will be needed to provide preoperative and postoperative care for laser surgery patients, patients who successfully undergo this surgery may not require optometrists to prescribe glasses or contacts for several years.

In addition to growth, the need to replace optometrists who retire or leave the occupation for another reason will create employment opportunities.

Admission to Optometry School is Competitive
To be licensed, optometrists must earn a Doctor of Optometry degree from an accredited optometry school and pass a written National Board exam and a clinical examination. Employment is expected to grow faster than average in response to the vision care needs of a growing and aging population.

This article is credited to U.S. Department of Labor