A Day in the Life of a Optometrist
“If you are looking for a dynamic and challenging career that allows you to help people
and achieve personal growth, community respect, flexibility, and financial success, optometry
is for you,” says one optometrist with a private practice in New York City. “I’ve had this business
for nearly 40 years, and I don’t plan on retiring anytime soon. In my opinion, this field
offers unlimited opportunities.” Like this doctor, most optometrists are in private practice,
either solo or with a group of fellow optometrists. A growing number of optometrists are
employed by other optometrists or ophthalmologists, hospitals, HMOs, or retail optical
stores. Still others pursue careers in the military
or public health service, teaching, and
research. They may also specialize in working
chiefly with elderly patients, children, contact-lens patients, and the partially blind.
Whether they work in a private practice, group practice, or clinic, optometrists all perform
a number of duties. They examine the internal and external structure of the eye to
assess its neural connections, determine its ability to see color accurately, and measure depth
perception. They also assess and, with corrective lenses, improve the patient’s ability to see
both close up and from a distance. Perhaps most importantly, they can diagnose eye disease.
Optometrists will consult with ophthalmologists regarding the care for cataract patients and
can often provide much of those patients’ pre- and post-operative care. As the primary eyecare
provider, they are on the front lines to observe early signs of systemic conditions, and, by
acting in due course of their examination, contribute to their patients’ overall health. All
optometrists need great people skills and the ability to deal with patients tactfully. Those
individuals with private practices also need business skills.
Paying Your Dues
Just as an optometrist’s professional responsibilities are varied and difficult, so may be
the road to becoming an optometrist. Admission into any of the 17 accredited optometric
colleges in the United States is very competitive. As an undergraduate, superior grades in
math, physics, chemistry, biology, anatomy, physiology, and even English are a must.
Applicants must also take and score highly on the OCAT (Optometry College Aptitude Test).
Graduate study lasts four years and includes classroom and clinical training in ocular anatomy,
disease,myotology, pharmacology, neuroanatomy and neurophysiology of the vision system,
vision performance, and vision screening. Unique to optometric education is the study
of optics and extensive training in lens design, construction, application, and fitting. And,
since optometrists are members of the primary health care team, they also must study human
anatomy, general pharmacology, pathology, psychology, biochemistry, statistics, and epidemiology,
much like any medical student. After completing this study successfully for an OD
(Doctorate Degree of Optometry), optometrists must pass a state board examination to
become licensed to practice in their state.
Present and Future
Breakthroughs in technology have made optometry a more accurate science and have
made treatments once unthinkable, such as a radial keratotomy, a reality. More and more
optometrists are hiring optometric assistants and other support personnel to meet the growing
demand for eye care. Because more HMOs and health care plans include vision plans,
optometry is a growth industry, and not just for those individuals with private practices.
Employment in this field is expected to grow as fast or faster than average when compared to
all other occupations.
Quality of Life
PRESENT AND FUTURE
Starting salaries for optometrists are relatively high, although income varies greatly
depending on geographic area and specialization. Optometrists who begin working
as salaried employees tend to earn more initially than those individuals who start their
own practices. Beginning optometrists enter into associate practices with other optometrists to
earn enough money to start their own practice.
FIVE YEARS OUT
Professional reputation and the number of years in practice affect earnings level.
Optometrists who have their own practice in the six-figure range will start to develop
a client base and a reputation. Those optometrists who are working for group
practices or HMOs with four or five years of experience can be pulling in anywhere from
$30,000–$85,000. At this point, some professionals may have gone back to school for a master’s
degree or PhD to acquire the necessary training to teach or to specialize in areas like
neuro-optometry or pediatric optometry. Some optometrists decide to pursue research positions.
TEN YEARS OUT
In the long run, it is those who have private practices who end up with the most
lucrative jobs. With years of experience and a solid reputation, an optometrist in a
major metropolitan area can make as much as $160,000 per year.