Optometrists are lobbying for more leeway to treat patients — and physicians' groups are pushing back. But it's more than a turf war, both sides say, as they explain why patients' vision is at stake.
document examples of retinal damage resulting from accidental misuse. Researchers have tried to determine, on a broader level, whether optometrists have worse outcomes than ophthalmologists when performing the same laser procedures.
to undergo additional laser procedures in the same eye, compared with patients who had the initial procedure done by an ophthalmologist.than ophthalmologists in Medicare's payment incentive program, which rewards physicians based on quality metrics — reduction of eye pressure, for example.On the surface, both studies would seem to urge caution about extending laser privileges to optometrists. Yet the data can be challenging to interpret.
On the whole, however, optometrists have much less experience treating disease. They mainly see healthy patients for routine eye exams, said Kliger. Ophthalmologists"see more pathology," which gives them a broader, more nuanced understanding of eye diseases and how to treat them.
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