What is an Optometrist?

An optometrist is a primary vision care provider meaning they are the first point of contact for a person’s eye and vision needs. Optometrists are dedicated to helping patients manage their eye health. If a person is experiencing any changes to their vision or has eye health concerns, an optometrist will help address these issues. Optometrists are trained to provide eye tests, kids eye tests, diagnose eye problems and diseases and write prescriptions. The services an optometrist provides are listed below.

What Does an Optometrist do?

An optometrist is a primary vision care provider meaning they are the first point of contact for a person’s eye and vision needs. Optometrists are dedicated to helping patients manage their eye health. If a person is experiencing any changes to their vision or has eye health concerns, an optometrist will help address these issues. Optometrists are trained to provide eye tests, kids eye tests, diagnose eye problems and diseases and write prescriptions. The services an optometrist provides are listed below.

Eye tests: Optometrists are trained to perform eye tests which is a procedure used to check a person’s eyes and their vision. Eye tests are extremely important in maintaining eye health as they can detect eye diseases and vision issues.
Kids eye tests: Kids eye tests are performed by optometrists to examine a child’s vision and eye health. A children's eye test is similar to an adult's with minor adjustments to cater for their stage of development.
Diagnose eye problems and diseases: Through various tests in a comprehensive eye test, an optometrist can diagnose eye problems and diseases such as glaucoma, cataracts and issues with the cornea. Optometrists will also detect any refractive errors a person may have such as hyperopia, myopia or astigmatism.
Write prescriptions: Optometrists will write prescriptions for optical glasses to correct a person’s vision. If a patient has a refractive error, an optometrist will provide the prescription needed to give them clear and comfortable vision. Some optometrists also write prescriptions for eye drops.

Four icons representing the different services an optometrist provides.

Is an Optometrist a Doctor?

No, optometrists are not medical doctors, they are registered healthcare professionals who provide primary eye care such as comprehensive eye tests. The difference between an optometrist and an eye doctor is their education and area of expertise. According to the Australian Institute of Health and Welfare, medical doctors have a degree in broader medicine, whereas healthcare professionals are those who have a degree in a specific health area. In the case of an optometrist, they will have a degree in optometry and the appropriate training. There are medical doctors who specialise in eye care and these professionals are called ophthalmologists. Optometrists perform eye tests which include assessing a patient’s vision and looking at the eye structure such as the iris and cornea.

Do Optometrists Study Eye Health?

Yes, optometrists study eye health as their role is to assess the health of the eyes and detect eye diseases as well as evaluate a patient’s vision. Optometrists study eye health in university to become qualified to practice as an eye care professional. In university, they will learn the physiology and anatomy of the eye as well as eye diseases and the psychophysical of neuroscience and vision, according to the University of NSW in the Bachelor of Vision Science/Master of Clinical Optometry.

How does an Optometrist Analyse the Optic Disc?

An optometrist can perform a two-step optic disc exam according to the American Academy of Ophthalmology. The first step of this exam is the examination of the optic nerve and nerve fibre layer which can be done using a slit lamp. The second step of an optic disc exam is the documentation of the optic disc with a photograph.

Can an Optometrist Repair the Optic Nerve?

No, an optometrist cannot repair the optic nerve as, according to Glaucoma.org, damage to the optic nerve is irreversible. The optic nerve cannot be repaired as the nerve fibres are unable to regenerate if damaged. If a person has issues with their optic nerve, they will need to be assessed by an ophthalmologist.

What is an Ophthalmologist?

An ophthalmologist, also known as an eye surgeon or eye doctor, is a medical doctor specialising in eye care. An ophthalmologist will assess and manage serious eye conditions like advanced glaucoma and perform surgeries including cataract surgery and refractive surgery.

What Does an Ophthalmologist do?

An ophthalmologist is a medical eye care specialist who is trained in eye health and qualified to treat and manage complex eye diseases, perform eye surgery and treat eye injuries. Ophthalmologists will typically receive patients from referrals, either by optometrists or a General Practitioner. Ophthalmologists will then assess the patient and create a treatment plan. The services an ophthalmologist provides are listed below.

Treat and manage complex eye diseases: The eye diseases an ophthalmologist can treat and manage include cataracts, glaucoma, diabetic retinopathy as well as irregular eye movements and corneal conditions.
Perform eye surgery: An ophthalmologist is trained to perform eye surgery which includes cataract surgery, refractive or laser surgery, glaucoma surgery, reconstructive eye surgery and cancer removal.
Treat eye injuries: An ophthalmologist can treat eye injuries to repair any damage that was caused. An ophthalmologist can remove foreign bodies from the eye if they are central or deep in the eye, according to BetterHealth Victoria.

Three icons representing the different services an ophthalmologist provides.

Does an Optometrist examine the Fovea Through an Eye Test?

In an eye test, an optometrist will examine the macula, which the fovea is located inside of. The fovea is a small pit in the central portion of the macula, according to the National Library of Medicine. Eye tests that examine the macula include a retinal test, or ophthalmoscopy, which specifically checks for problems at the back of the eye.

How Different are Ophthalmologists Compared to Optometrists?

The main difference between an ophthalmologist and an optometrist is the services they provide. An ophthalmologist, also known as an eye surgeon or ophthalmic surgeon, is a medical doctor who has completed additional training in eye care. In contrast, an optometrist is a healthcare professional who provides fundamental eye care services such as prescribing glasses and diagnosing and managing common eye problems. Ophthalmologists can also perform eye surgery to treat vision disorders. If an optometrist identifies an ocular disease or injury, they will typically refer their patient to an ophthalmologist for further treatment. In summary, the main difference between an ophthalmologist vs optometrist is the duties they are qualified to perform.

How to Choose an Eye Doctor?

There are two main types of eye doctors a person can choose from, an optometrist and an ophthalmologist, although in Australia optometrists are not referred to as eye doctors and are not qualified as medical doctors. According to the National Eye Institute, there are different reasons a person may need to see an eye care professional which are, they need general eye care, they have a serious eye condition, they need an eye prescription or they need eye surgery. How to choose the right eye doctor for these reasons is listed below.

General eye care: For general eye care including a comprehensive eye test or needing medicine prescribed, you should choose an optometrist. The main role of an optometrist is to provide eye tests to assess vision and eye health.
Serious eye condition: If you have a serious eye condition or disease, you will be referred to an ophthalmologist as optometrists are not qualified to deal with more complex eye problems.
Eye prescription: People who need glasses will require an eye test by an optometrist to receive an eye prescription. An eye prescription will be used to help correct a person’s vision with optical glasses.
Eye surgery: When a patient requires eye surgery, this will be performed by an ophthalmologist as they are trained medical doctors. Eye surgery includes cataract surgery and refractive surgery.

Does an Ophthalmologist Perform Surgery?

An ophthalmologist is an eye specialist who performs a range of medical and surgical procedures. Some of the eye surgeries an ophthalmologist performs include cataract surgery. Cataract surgery involves an ophthalmologist removing the patient’s cloudy lens and replacing it with a clear lens, helping to combat the symptoms of cataracts. They also provide refractive or laser surgery to correct refractive errors which involves reshaping the cornea. Ophthalmologists can remove cancerous tumours in or around the eye. Finally, these eye doctors can perform glaucoma surgery which may involve making an incision in the eye to relieve pressure and prevent optic nerve damage.

Are Optometrists and Ophthalmologists Both Eye Specialists?

An optometrist is not an eye specialist, however, they provide fundamental eye care services such as comprehensive eye tests and prescriptions for glasses. An ophthalmologist is a medical eye specialist who is qualified to treat and manage complex eye diseases and perform eye surgery.

How to Become an Optometrist?

To become an optometrist, a person must undertake thorough education, training and practical work. The steps to become an optometrist include undergoing a bachelor's degree, a master's or doctoral degree, pre-registration experience and finally registering with the Optometry Board of Australia. The steps to becoming an optometrist are listed below.

Bachelor’s degree: A person will have to undertake a bachelor’s degree in biological sciences, such as a Bachelor of Vision Science. According to the Royal Australian and New Zealand College of Ophthalmologists (RANZCO), this includes studying the visual system and diagnosing common eye conditions.
Master’s or doctoral degree: After the bachelor’s degree, they may need to complete additional training in optometry which will be a master’s degree or doctor of optometry. For some universities, a bachelor’s degree is sufficient.
Pre-registration experience: A person will then have to complete one year of pre-registration experience, according to RANZCO.
Registering with the Optometry Board of Australia: Finally, to begin practising as a qualified optometrist, a person must register with the Optometry Board of Australia.

What is an Optometrist's Scope of Practice?

The scope of practice of an optometrist includes performing general eye care services such as comprehensive eye tests, diagnosing and treating common eye problems, providing prescriptions and prescribing medications. Areas outside their scope of practice include dealing with complex or advanced eye diseases and performing eye surgery, which is done by an ophthalmologist.

Does an Optometrist Have a License?

An optometrist will need to be registered with the Optometry Board of Australia to practise as an optometrist. Before being registered as an optometrist, a person will need to complete 5-7 years at a university in a degree of optometry and one year of pre-registration experience according to the Royal Australia and New Zealand College of Ophthalmologists.

A practicing optometrist performing an eye test on a patient.

Does an Optometrist Give Contact Lens Prescriptions?

Yes, an optometrist provides contact lens prescriptions which is achieved through an eye test to determine the power needed to correct the refractive errors present. They also offer contact lens fittings and will be able to provide any information or answer questions you have about contacts. When choosing contact lenses, you will need to discuss your options with an optometrist who can provide advice on what contacts may be best for your prescription and lifestyle.

At Oscar Wylee, we do not provide contact lens prescriptions or contact lenses.

How to Become an Ophthalmologist?

To become an ophthalmologist a person will need to have a minimum of 12 years of training according to the Royal Australia and New Zealand College of Ophthalmologists. These years of training consist of medical school, medical training and ophthalmic specialist training. The steps to becoming an ophthalmologist are listed below.

Medical school: To become an ophthalmologist in Australia and New Zealand, a person will need to complete 6-7 years at medical school where they will graduate with a degree in medicine.
Medical training: After medical school, a person will complete a minimum of 2 years as a newly qualified doctor embarking on basic medical training.
Ophthalmic specialist training: Finally, a person will undertake 5 years of ophthalmic specialised training. They will also have to successfully complete examinations set by the RANZCO. It also requires 12,000 hours of training including surgery.

What are the Advantages of an Ophthalmologist Over an Optometrist?

There are no specific advantages of an ophthalmologist over an optometrist as they are different professions that perform different services. A person will see an optometrist for all their primary eye care needs such as for an eye test or prescription glasses. An ophthalmologist deals with more advanced and complex eye issues and is also qualified to perform eye surgery.

What are the Limitations of an Ophthalmologist?

There are no real limitations of an ophthalmologist, these eye care specialists are qualified to treat complex eye diseases and perform eye surgery. Some of the disadvantages include expensive education and equipment, however, it is a well-respected profession within the eye health field.

What are the Different Eye Examinations Done by Optometrists?

The different types of eye tests and exams performed by optometrists include a tonometry test, visual acuity test, refraction test, retinal photography, slit lamp test, colour vision test and examination of eye movements. During an eye test, you can expect your optometrist to take a comprehensive medical history to figure out what they should be looking out for. They may ask you questions about your family history, past and present medical issues, medications you might be on, injuries, and other factors. It is important to be as thorough as possible with your answers to ensure that the test covers all likely possibilities. A comprehensive eye test will vary slightly for each individual, depending on your age or specific conditions. The tests performed by an optometrist and their definitions are listed below.

Tonometry test: A tonometry test, is used to measure the pressure in the eyes and can help with the diagnosis of some ocular diseases including glaucoma. This test is done as part of pre-testing and may be performed by an optometrist or optical assistant.
Visual acuity test: A visual acuity test measures the sharpness and clarity of a person’s vision and is performed by an optometrist using a Snellen Chart. A person’s visual acuity is represented by a fraction such as 20/20.
Refraction test: A refraction test is used to determine a patient's prescription for eyeglasses if required. A prescription is used to correct vision problems caused by refractive errors such as myopia, hyperopia, presbyopia and astigmatism.
Retinal photography: An optometrist may use high-resolution digital cameras to take images of the back of your eye to look at changes over time and find out the state of your retina which is known as retinal photography.
Slit lamp test: A slit lamp test examines the structure of a patient’s eye under high magnification. This is used to detect a wide range of eye conditions and diseases such as cataracts, macular degeneration, corneal ulcers and diabetic retinopathy.
Colour vision test: A colour vision test is used to check a person’s colour vision to detect colour blindness or colour vision deficiency. Tests to diagnose colour vision deficiency include a colour hue test and a colour plate test.
Eye movements: An optometrist will examine a patient’s eye movements to determine how well their eyes work as a team when following a moving object and focusing on various targets.

When Should You See an Optometrist?

There are many different reasons why you should see an optometrist which include if you have noticed any changes to your eyesight, whether it be blurry vision, eye strain, trouble reading small print or seeing far away objects, you should come in and see your optometrist for an eye test. An optometrist should be able to diagnose your vision issue and help treat it. According to Allied Health Professions Australia, there are several key reasons why you should come and see an optometrist, which includes a regular eye test as it can detect any eye conditions or diseases early on, allowing your optometrist to manage these before they become a bigger issue. A routine eye test is important for detecting health conditions that may affect the eye, such as high blood pressure and diabetes. And finally, an eye test is a good way to see where your overall health and well-being is at. At Oscar Wylee, we recommend everyone should see an optometrist for an eye test at least once every two years and if you are 65 years and older, a yearly review is advised.

A pair of Oscar Wylee glasses in front of a Snellen chart used to assess a patient’s vision in an eye test.

When Should You See an Ophthalmologist?

An ophthalmologist is seen through a referral from an optometrist or General Practitioner. A patient will be referred to an ophthalmologist if they have advanced or complex eye or vision problems. According to HealthDirect, a patient may also be referred to an ophthalmologist if they have partial or complete vision loss, eye injuries, pain or inflammation.

Does an Optometrist Collaborate with an Ophthalmologist?

Yes, optometrists and ophthalmologists collaborate which may be in the same practice or through co-management of patients. According to the Royal Australian and New Zealand College of Ophthalmologists, ophthalmologists can often lead a team of eye care professionals that includes optometrists. An optometrist will refer patients to an ophthalmologist for more advanced care and patients may also be sent to an optometrist after being discharged from the care of an ophthalmologist for follow-up care.

What are the Differences Between an Optometrist and an Optician?

There are many differences between an optometrist and an optician as in Australia, opticians and optical dispensers are two professions that can often be confused. Optician is used in the UK to describe eye care professionals who prescribe and dispense glasses. As this definition is very closely related to optometry, it is not used in Australia. We instead use the terms optometrist and optical dispenser.