Dannyboy said:
Refraction is almost perfect with todays computerized equipment.
Now you may say what about the health of the eye? That would be the next step and it will come sooner than you think to an optical close to you.
Let me explain, medicine (real physicians), are just waiting to expand it radius of action. Once medicare approves the codes, the barriers will start coming down.
If I was an ophthalmologists my next step would be to equipt independent opticals. The optician "rents" space to these cyber doctors. The magazine ads speak for themselfs.
The epic system advertises refraction by technicians and can be program for the individual doctors testing sequence.... Slit lamp cameras that capture images of ocular adnexa and are "telemedicine ready", non contact tonometers that a person without experience can use and now we have "Optos" ophthalmoscopy machine that takes incredible pictures of the retina and without dilation and it is telemedicine ready....
Now the real question would be not wether opticians can refract alone but wether optometry embraces the technology and allow opticians to perform refraction and them (ODs) read the results of these "eye exams".
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