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CHOOSING THE EYE CARE PROFESSIONAL
When a person seeking eye-care treatment walks into a professional office, he is only concerned about getting the best possible servicing of his problem. But the patient would have to be an astute pupil of politics to understand the forces now at work shaping the future of the eye-care industry.
The truth is that with all of the diagnostic advances the improved quality of eye care, and the many breakthroughs we are describing here, the competition grows among health care professionals administering to patients with vision problems. Consumers may become confused by the lobbying and heated discussions among the three groups of specialists: ophthalmologists, optometrists, and opticians. There is a basic economic conflict on various levels among the three groups, and there tends to be financial pressure from one group to downgrade the others. These various pressures, along with medical and professional concerns, account for much of the competition.
One problem that confuses consumers is choosing an eye care professional to visit regularly. An ophthalmologist (pronounced off/THAL/mol/ogist) is an eye physician and surgeon with an M.D. degree, who also is known as an oculist. This medical doctor specializes in the total care of the eyes. He or she is the only practitioner medically trained and qualified to diagnose and treat all eye and visual system problems as well as general diseases of the body. By looking within your eye, an ophthalmologist can see the signs of many systemic diseases which require immediate treatment, including diabetes, high blood pressure, and cancer.
With an instrument called a tonometer and ophthalmologist can determine a patient’s eye pressure, the force with which the fluids of the eye press against the optic nerve. High eye pressure, like high blood pressure, is a serious matter. It may indicate the presence of glaucoma.
“You have to think of the eyes in terms of the entire body”, said the former president of the American Association of Ophthalmology, Alfonse Cinotti, M.D. “Prescribing corrective glasses and contact lenses is only a part of total eye care. A medical eye examination by an ophthalmologist can reveal subtle changes in your eyes which often signal the beginning of such sight-threatening conditions as glaucoma or cataract. In most cases early treatment of eye disease can prevent impairment of vision and even blindness.”
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