[charlesbahn]

There is a lot of confusion about eye care professionals. I am an Ophthalmologist so I am biased.

An Ophthalmologist is a Doctor of Medicine (MD) who goes to medical school (4 yrs), does an internship in general medical care or surgery (1 yr), and then does residency training in medical and surgical care of the eye (3 years). Many also do a subsequent fellowship in a subspeciality such as glaucoma or retina (1-2 years). The training, strict licensure, and continuing medical education requirements of Ophthalmologists pretty much assures consistancy and competence in the profession.

An Optometrist goes to an Optometric School after college (3-4years) where the emphasis is mainly on the diagnosis and treatment of refractive aspects of the visual system (glasses and contacts). They also receive some training in the diagnosis and treatment of medical conditions of the eye. More recenctly some states have begun to permit optometrists to prescribe medications. I have found that the ability of an Optometrist to diagnose and treat medical conditions affecting the eye vary considerably with their education and interests. Some are excellent, some not so good. They do not perform surgery.

An optician has technical training to measure and make glasses. Their training varies considerably and is frequently "on the job training." Again some are really good, others less so.

In selecting an eyecare professional, you should go to someone you feel comfortable with. If you go to a practice that has an optical shop on site, there is a natural bias for that practice to steer you in that direction.

I personally examine eyes and provide the patient my best advice about the options they have for correcting their vision. I give them prescriptions but do not make or sell glasses. I do sell contacts, but am happy to provide a prescription for 1800contactlenses if the patient wishes. I will recommend local optometrists and opticians if asked. I will always check a patients glasses after they are made, and work with the optician if there are any problems.