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HEALTHY EYES: SEEKING EYE CARE TREATMENT
The eye is affected by disease and general health of the rest of the body; hence the ophthalmologist diagnoses and treats eye problems as part of the total medical and health care. His treatment may consist of eyeglasses or contact lenses, when necessary, plus orthoptic training, medications, surgery, or any other required scientific therapy. Sometimes an ophthalmologist specializes in surgery to the exclusion of other forms of eye care.
There are about 12,500 practicing ophthalmologists in the United States. Many of them teach; 11 percent conduct research in addition to caring for patients. The ratio of eye physicians to the population is increasing steadily: In 1950 there were only 2.2 per 100,000 population; in 1960 there were 3; in 1970 there were 4; today there are 5 ophthalmologists per 100,000 population and these are predominantly in solo practice. Eye surgery is done by over 90 percent of them, and a major portion of the time ophthalmologists spend in caring for children is devoted to the treatment of crossed eyes.
Education of the ophthalmologist includes four years of college pre-medical training, four years or more of medical school, one year of general medical internship, and three or more years of medical training and experience in eye care hospitals and medical eye clinics (formerly called a medical residency). Ophthalmologists also take postdoctoral courses in the diagnosis and treatment of ocular diseases, application of physiological and optical principles to the prescription of lenses and the correction orations of ocular muscle functions, and in surgery of the eye and its related structures.
Ninety-five percent of practicing eye physicians in the U.S. are aided in their care of patients by other health professionals such as nurses, medical assistants, optical- fitters (including opticians), optical technicians, orthoptists and others. For example, the ophthalmic medical assistant also known as the ophthalmic technician or technologist, is an important “right hand” for the ophthalmologist. One to four years of academic and/or on-the-job training in an accredited program at a medical center or an ophthalmologist’s office is required. The technologist performs an increasing number of data collection tasks and other technical services required in daily ophthalmology medical practice. The certified ophthalmic medical assistant with evidence of approved continuing education may apply for certification at a higher level. He or she may assist the ophthalmologist in surgery, and in some instances may be a graduate professional nurse.
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