More than half of the people in the United States
wear glasses or contact lenses. Optometrists provide most primary vision care.
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 ability
to focus and coordinate the eyes. Optometrists analyze test results and develop
a treatment plan. Optometrists prescribe eyeglasses and contact lenses and provide
vision therapy and low vision rehabilitation. They administer drugs to patients
to aid in the diagnosis of eye vision problems and prescribe drugs to treat
some eye diseases. Optometrists often provide pre-operative and post-operative
care to cataract, laser vision correction and other eye surgery patients. They
also diagnose conditions from 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. 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 private practitioners who
also handle running an office, developing a patient base, hiring employees,
keeping records and ordering equipment and supplies. Optometrists who operate
franchise optical stores also may have some of these duties.
Most full-time optometrists work about 40 hours
a week. Many work Saturdays 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 and qualifications
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 pass both a written
and a clinical state board examination. In many states, applicants can substitute
the examinations of the National Board of Examiners in Optometry, usually taken
during the student's academic career, for part or all of the written examination.
Licenses are renewed every one to three years and in all states, continuing
education credits are needed for renewal.
The Doctor of Optometry degree requires completion
of a 4-year program at an accredited optometry school preceded by at least three
years of pre-optometric study at an accredited college or university (most optometry
students hold a bachelor's or higher degree). Applicants must take the Optometry
Admissions Test, which measures academic ability and scientific comprehension.
Competition for admission is keen.
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 good manual dexterity.
Optometrists wishing to teach or do 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.
Job outlook
Employment of optometrists is expected to grow about
as fast as the average for all occupations through 2010 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 their increased likelihood of cataracts,
glaucoma, diabetes and hypertension. Employment of optometrists also will grow
because of 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 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, new surgical procedures using lasers are available
that can correct some vision problems, but they remain expensive.
Earnings
Optometrists held about 31,000 jobs in 2000. 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, clinic or vision care
center. About two-thirds of practicing optometrists are in private practice.
Median annual earnings of salaried optometrists
were $82,860 in 2000. Median annual earnings of salaried optometrists in 2000
were $89,460 in offices and clinics of medical doctors and $85,470 in offices
of other health practitioners. Salaried optometrists tend to earn more initially
than do optometrists who set up their own independent practice. In the long
run, those in private practice usually earn more.
Related links
For information on optometry as a career and a list
of accredited optometric educational institutions: