Optometrist

Optometrist

Optometrists provide comprehensive eye and vision care, including the following core services:

• Comprehensive eye examinations (visual acuity, refraction, binocular vision, color vision, intraocular pressure, dilated fundus evaluation).
• Diagnostic testing using approved instruments and pharmaceutical agents to evaluate ocular disease and visual function.
• Analysis of test results and development of individualized treatment plans.
• Prescription, fitting, and adjustment of eyeglasses, contact lenses, and other vision aids.
• Patient education and counseling on contact lens care, visual hygiene, ergonomics/lighting, and eye safety.
• Foreign body removal from the ocular surface when clinically indicated and within privileges.
• Pre- and post-operative care for ocular surgeries (e.g., cataract, laser vision correction) in collaboration with Ophthalmology.
• Prescription of therapeutic procedures and vision rehabilitation to conserve or improve visual function.
• Consult and refer to Ophthalmology or other disciplines when additional medical/surgical treatment is required.
• Establish co-management plans with Ophthalmology for surgical cases and chronic disease management (e.g., glaucoma, diabetic retinopathy).
• Utilize VA referral pathways and document rationale, urgency, and expected follow-up intervals.
• Provide same-day triage and management of urgent ocular complaints (e.g., acute red eye, vision loss, ocular trauma) within scope and privileges; arrange emergent care when indicated.
• Operate and interpret findings from approved diagnostic devices (e.g., slit-lamp biomicroscopy, tonometry, pachymetry, automated perimetry, OCT, fundus photography) per training and privileges; ensure calibration and adherence to device-specific safety protocols.
• Utilize the VA electronic health record (EHR) for accurate, timely documentation of encounters, orders, and patient communications.
• Use standardized optometry templates and include history, assessment, plan, patient education, and follow-up.
• Ensure coding compliance and appropriate encounter closures.
• Participate in performance improvement initiatives and quality metrics (e.g., diabetic eye exam completion, glaucoma follow-up adherence).
• Practice in accordance with evidence-based guidelines and VA directives; engage in peer review and case discussions.