The case for expanding scope of optometry

Excerpted from page 5 of the Winter 2024 edition of AOA Focus
In recent years, the field of optometry has undergone significant changes, driven by advances in technology, growing patient demand and an evolving health care landscape. As optometrists, we stand at a pivotal juncture where expanding our scope of practice is not only beneficial but also essential for our profession’s future. The time has come for us to fully embrace this evolution.
Filling the gap
The demand for accessible eye care services is on the rise, fueled by an aging population and a stagnant supply of providers. As the number of patients seeking care grows, so does the need for optometrists to fill the gap in health care delivery. By expanding our scope to practice as we are taught, we can ensure that patients receive timely treatments, improving their quality of life. Public health demands that we step up.
Providing enhanced care
The rapid advancement of technology in eye care presents another compelling reason for expanding our scope. New diagnostic tools and treatment modalities offer unprecedented opportunities for optometrists to enhance our services. By incorporating these innovations into our practice, we can improve diagnostic accuracy, streamline patient management and provide more personalized care. Embracing these technologies also positions us as forward-thinking practitioners who are committed to continuous improvement and adaptation.
Growing dynamic care teams
Another substantial benefit of scope expansion is the opportunity it creates for staff growth and development. As optometrists take on more advanced procedures, there is a corresponding need for well-trained support staff. This allows existing employees to enhance their skills through specialized training and education programs, such as the AOA’s paraoptometric certification program, which not only bolsters their knowledge but also enhances the overall quality of care provided by the practice. This allows optometrists to delegate more responsibilities to our staff, enabling team members to take on more significant roles within the practice. This delegation fosters a sense of ownership and empowerment among staff, leading to improved job satisfaction and retention. A well-trained team is invaluable, as it allows optometrists to focus on complex cases while ensuring that routine tasks are handled efficiently.
Optometry’s critical role
As we expand our scope, we also strengthen our professional identity. Optometry has long been undervalued compared to other health care professions, often leading to misconceptions about the role we play in patient care. By advocating for expanded practice, we can demonstrate our expertise and the critical role we play in the health care system. This not only elevates the profession but also fosters greater collaboration with other health care providers, ultimately benefiting our patients.
The future of optometry lies in our ability to adapt and expand our scope of practice. By enhancing patient care, meeting growing demand, equipping our staff, embracing technological advancements and strengthening our professional identity, we can secure a more prominent role in the health care landscape. As optometrists, we have a responsibility to advocate for the expansion of our scope—not just for our profession, but for the well-being of our patients and communities. Let us unite in this endeavor and shape the future of optometry together.
Learn about the AOA’s support of state advocacy.
Save the date!
If AOA state affiliates are interested in elevating advocacy in their states, save these dates for the AOA State Government Relations Center (SGRC) Regional Advocacy Meetings in 2025.
Aug 15-16 in Chicago, Illinois
Oct. 24-25 in Phoenix, Arizona
Registration will open soon, and additional details will come.
In rural America, opportunity for optometry amid shortfall of ophthalmologists
Patient access to eye care and care itself in rural America is jeopardized by the shortage of ophthalmologists, a new study suggests. AOA President Steven T. Reed, O.D., says optometry can help close the gap between the shrinking supply of ophthalmologists and the demand for care. By comparison, more than 99% of Americans live in counties with a doctor of optometry.
Destination: Scope expansion
The AOA deploys multifaceted support for state affiliates in their high-stakes fights to secure optometric scope expansion through strategic guidance, administrative and operational resources, and the Future Practice Initiative, established in 2018. The bold direction is yielding remarkable results—scope expansion and the future of optometry are reaching historic heights.
Double duty: Doctors of optometry bring their vision to state legislatures
A wave of doctors of optometry with decades of clinical experience are serving their communities in two ways—as health care professionals and state lawmakers. Get to know those who won reelection Nov. 5 and are being sworn in for legislation sessions in their respective states.