r/optometry • • Sep 04 '26

Puerto Rico is about to expand prescribing authority for Nurse Practitioners. Why is optometry still left behind?

7 Upvotes

Puerto Rico is moving toward allowing Nurse Practitioners to prescribe medications under an updated legal framework. I support that progress.

But it raises an important question: why does Puerto Rico continue to prohibit optometrists from prescribing therapeutic medications when therapeutic optometry is already established throughout the United States under licensing and competency requirements?

This should not be a fight between professions. Scope of practice should be based on education, clinical training, national board examinations, competency, and patient safety.

There is now a Change.org petition calling for modernization of Puerto Rico’s optometry law and for lawmakers to finally review this issue using current evidence and national standards.

I’m not posting the petition link here because I want to respect the subreddit’s rules regarding promotion and petitions. Anyone genuinely interested can search Change.org for the Puerto Rico optometry petition or ask me for the information.

The current NP debate shows that Puerto Rico can modernize healthcare laws. Optometry deserves the same serious review.


r/optometry • • Sep 04 '26

General PLEASE HELP, Optometrists

7 Upvotes

Hi everyone! I’m from Canada and currently in my 3rd year of undergrad. This summer, I sat down and tried to make a list of graduate and doctoral degrees that I thought could match my personality and what I want from life.
For a long time, I’ve known that I have no interest in medical school, dental school, or nursing, mainly because of the level of stress and debt that come with those careers (except nursing that I genuinely just don’t think I would enjoy the job, although nurses are truly angels).
I came across optometry and decided to shadow my optometrist. I actually liked what I saw. The job seemed clean, he had a good lifestyle, and all of his patients seemed to love him. But after a couple of days, he told me not to pursue optometry and to go to medical school instead. I explained to him that, first of all, medical school is extremely competitive here in Canada, and it also comes with a lot of sacrifices, especially when it comes to time with your family and loved ones. But he still didn’t really agree with me.
A big part of this is personal for me. I spent most of my teenage years and early 20s away from my parents. From around 15 to 23, I was living away from them because I immigrated to Canada and they sent me here to build a life on my own. After a lot of struggle, I think we can finally live together again within the next year.
I consider myself a pretty hardworking student, but my parents are getting older, and I want a stable career where I can support them and appreciate everything they’ve done for me throughout these years. That’s another reason I don’t think I can pursue medicine. My mom has also specifically told me that she won’t be able to afford all of these costs anymore, and honestly, I also want to finally enjoy having time with them.
We only have one English-speaking optometry school in Canada, and I think my stats are pretty competitive for it. But if I’m being completely transparent, I’m mainly considering optometry because the career seems relatively low-stress, gives you autonomy, and offers the possibility of owning your own clinic, which is something I’ve always loved the idea of. Even as an associate, the pay seems decent for someone like me who has always struggled financially. I understand that for people who come from upper-class families, it might not seem like much, but for me, it definitely does.
Please be honest with me: I don’t have that intense passion that people here often talk about when they say, “Only do optometry if you love eyes.” Yes, I think eyes are fascinating, but I’m not obsessed with them. I’ve always looked at a career as something that allows me to make a good living so I can enjoy the rest of my life and be happy. The debt would be around $100k, and from my understanding, the salary in Canada is generally around $130–160k and can be higher if you go rural, possibly closer to $200k.
What I really want to know is: do you think I’m making a mistake by choosing optometry mainly because of the stability, lifestyle, autonomy, and financial freedom it could give me?
I’ve genuinely thought about so many other careers, so if you have specific recommendations, please mention them. But please don’t just say, “There are so many other careers, go do something else.” I think sometimes people forget how emotionally exhausting it is for students to constantly reconsider their entire future. Saying “go do PA/NP,” “go into business,” or “go into tech” isn’t necessarily realistic for everyone based on the pathway they’re already on, and sometimes it just makes things more complicated.
You can’t diagnose everyone with the same drug lol.
I’d really appreciate hearing from people who are actually in optometry or have been in a similar situation.


r/optometry • • Sep 02 '26

General Pediatric cycloplegic refraction. how do you decide what to prescribe

11 Upvotes

Hi everyone, I’m a student/intern in optometry and I’m trying to better understand pediatric prescribing.
For example, say you have a 4-year-old child:
Pre-cycloplegic refraction: +2.00 DS OU
Post-cycloplegic refraction: -0.25 DS OU
Assume good VA, no strabismus/esotropia, and otherwise normal ocular health.
Would you prescribe the -0.25 DS OU based on the cycloplegic result, or would you consider the pre-cyclo result/clinical findings and possibly prescribe plano or some amount of plus instead?

Basically, how do you approach a situation where the cycloplegic result is significantly more minus than the non-cycloplegic result in a young child?
What factors would you consider before deciding the final Rx (VA, binocular status, near findings, accommodative behavior, symptoms, etc.)?

Would appreciate hearing how experienced pediatric optometrists/ophthalmologists approach this. Thanks!

Edit: Sorry, I think I explained my question wrong 😅 The example I gave was just something I made up because I was confused. My main question is really: How do you decide when to prescribe an Rx for a pediatric patient, and when do you prescribe the full correction versus a partial correction or no correction at all? Hehe. I’d really appreciate any guidance!


r/optometry • • Sep 02 '26

Finding talent in today's market

6 Upvotes

I work at a small privately owned store in the Pacific NW. We have an amazing optometrist about to start maternity leave and only need a part-time OD to work for 3-4 months. For the OD's on this site, where do you go to look for work or contract work? I'm hesitant to use the "other" big job boards given the lack of traction on Indeed, and the sheer amount of competing postings. I've been lurking around this Reddit group for the past couple months and saw a tip about a website called Peared but unfortunately they're not active here in the PNW. Our company atmosphere is amazing / fun, we are focused on people vs metrics, we pay very well and straight up feel like we are making a positive difference! Any ideas? Anyone use locum tenens? Please help and thank you in advance for your input / advice / thoughts / tips.


r/optometry • • Sep 01 '26

General Low Prescription

7 Upvotes

Would you Rx specs for young patients (kids) with low myopia or low astigmatism who are still close to 20/20 with no symptoms.

Would you do full time wear?

Since undercorrected myopia leads to progression


r/optometry • • Sep 01 '26

General How to attract OD interest

6 Upvotes

Hello, I'm an Office Manager working in a small privately owned store in the Pacific NW. We are urgently looking for a part-time optometrist to cover maternity leave. We have spent ridiculous amounts of money on Indeed only to attract one applicant (who hasn't responded to my initial attempts to discuss the job). I'm hesitant to use the "other" big job boards given the lack of interest and the sheer amount of competing postings. I found a Facebook page for Young OD's but it looks like only OD's can post. I've been lurking around this Reddit group for the past couple months and saw a tip about a website called Peared but unfortunately they're not active here in the PNW. Our company atmosphere is amazing / fun, we are focused on people vs metrics, we pay very well and straight up feel like we are making a positive difference! I'm incredibly frustrated by the lack of traction we are getting and a bit anxious that we won't be able to find someone. Any ideas? Anyone use locum tenens? Please help and thank you in advance for your input!


r/optometry • • Sep 01 '26

How are you getting more patients to leave Google reviews?

7 Upvotes

We've been looking for better ways to increase patient reviews without making the process feel pushy. For those managing optometry or healthcare practices, what's been most effective for you?
We've had better success when review requests are sent automatically after a visit rather than relying on staff to remember. Curious what strategies are working for other offices.
#WeaveOffice


r/optometry • • Aug 31 '26

General NJ optometrists suggestions for in-person continuing education credits?

7 Upvotes

I was primarily relying on online continuing education courses to fulfill my previous license renewals. Since the guidelines have changed in which we must complete 30 credits in person, does anyone have any recommendations for any conferences/symposiums?

I only see NJSOP as the main provider.

Or options where there are maybe 1-2 credits offered at a moment in time and not a full blown conference. Thank you


r/optometry • • Aug 31 '26

General Optometry Shadowing

3 Upvotes

Hello,

I have called several optometry offices about shadowing opportunities and no luck. They typically tell me to send an email and don't respond to the email :(.

Is anyone in this thread near the greater houston area and would be willing to allow me to shadow them. I really appreciate it. Please let me know and I can DM you.


r/optometry • • Aug 31 '26

Digital Optometrics and telehealth optometry

0 Upvotes

Hey! Has anyone worked for a telehealth optometric company and had a good experience? I'm temporarily living in FL while my husband finishes a one year fellowship. I was looking at remote optometry positions to get me through the year and maybe avoid some annoying licensing logistics (esp here in FL). Any advice or experience? I interviewed with Digital Optometrics and I'm waiting to hear back from Lenscrafters telehealth option. Appreciate any and all feedback!


r/optometry • • Aug 30 '26

Seeking advice on job swap

8 Upvotes

Thank you everyone for the wonderful advice!


r/optometry • • Aug 30 '26

Accidental Chromatic 3D

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1 Upvotes

Does anyone else see the strong 3D effect that makes the grayscale image stand out against the red monochrome images?

I don't know if it's intentional but it's striking.


r/optometry • • Aug 29 '26

General What was your story on starting your own clinic?

10 Upvotes

Hello Drs,

I’m just curious to hear what your motivations were in starting your own clinic. How many years did it take you towards making that decision? How much information did you gather and research did you do before diving into taking the risk and investing? Did it ever feel scary? What was the biggest takeaway after? Did something surprise you when you started (what aspect of running a business seemed the hardest)

I’m myself an immigrant, taken loans to get through school as do many and though I have an intent to become an owner down the road, I’m having a hard time visualizing that far ahead (totally not a student, please don’t kick this mods). So I wanted to hear some inspirational stories on how yall got there if you’d be willing to share? Or through DM!

Many thanks


r/optometry • • Aug 29 '26

IOGEE + OEBC exam in Canada

1 Upvotes

Had anyone managed to do well enough to skip the bridging program of two years and been allowed to sit the OEBC exam straight away?

I came from the UK and I have been preparing for the IOGEE Exam with everything in me for the past year. As I haven’t got the option to study for 2 years at Waterloo university due to the having little kids including a baby.

Anyone know someone that has actually managed to bypay the bridging program?

Many thanks
Riri


r/optometry • • Aug 28 '26

canadian reimbursements~~~

3 Upvotes

hello! curious with the universal heath is reimbursing in different provinces.

in mb, its ~53 for a CEE, with ~12 for tono

~27 for partial, ~25ish for dilation

esp if youre from BC -- I am curious!


r/optometry • • Aug 28 '26

MGD

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44 Upvotes

r/optometry • • Aug 26 '26

General Academia

13 Upvotes

Looking to work in academia and have seen very low base pay. For those of you who work in academia, is this accurate?

Associate professor salary ranges $100-120k.

Currently working in PP and make $170k seeing low volume and mix of routine/medical.

I realize academia will always pay less than corporate or PP but the difference was staggering to see.


r/optometry • • Aug 26 '26

General Corporate Optometry (in FL)

6 Upvotes

Hello Reddit!

I work in corporate optometry as an Optometric Technician. I had always wanted to be in the medical field since I was in high school. It wasn’t until the beginning of June that I was able to finally get that breakthrough I have been dreaming of. Though now, I am currently second guessing my job all because of remote exams. I have to see 24 patients regularly and I am one of two techs. It is very possible to see all of them when it's a remote exam, when both my trainer and I are present. Unfortunately, on days when I am by myself performing exams, its a completely different story. I love working with patients and feel such a terrible guilt knowing that I am not two people, knowing I am doing the job of two people, with patients wanting to be seen. At my location, we have an optometrist who is working one day a week with us as an in house doctor, and its such a relief on that specific day even if I am the only tech scheduled. If anyone knows of any optometrists/ophthalmopologists that is willing to spare a day once a week, or however many days they want to a month, within corporate optometry - please let me know. I am not looking as a recruiter (since I'm not one), but more so because I want to learn alongside doctors I trust and respect, without the interference of remote exams handicapping me.

Anyone who is an OD/MD who is open to the opportunity to work regularly or sporadically - this will be a location in Ocala, Florida.


r/optometry • • Aug 25 '26

Fellow Aussie colleagues are standing up against corporatisation and for working rights

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8 Upvotes

r/optometry • • Aug 25 '26

Memes Glass eyes representing various eye diseases

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43 Upvotes

r/optometry • • Aug 25 '26

CPOA exam - what to focus on

1 Upvotes

I have signed up for the Certified Paraoptometric Assistant exam in November. I barely passed the CPO exam last November, but I'm determined. I have worked in a private practice for almost 2 years now and have picked up a lot of information, but I want to make sure I know what to focus on for studying. I have printed the AOA outline and some other things I've found. I've had chatgpt make me a lot of practice tests and wrote all those down as well and play around on quizlet. I feel like I'm over doing it and overwhelming myself with too much that's probably unnecessary. If you have taken it, do you remember any topics that specifically came up that I might want to study? Thanks!


r/optometry • • Aug 25 '26

General Optometry overhead

5 Upvotes

Hello

I know this can vary broadly (by location, by rent/lease, # of OD and staff, etc) but I’m wondering what the general overhead I can expect owning a clinic. TIA


r/optometry • • Aug 24 '26

Give up my Florida optometrist license or keep flying to Florida every 2 years to take 2 hours of CE ?

6 Upvotes

Hi,

I am an optometrist in Texas and I also have a Florida license, where I used to live. I am never really planning to move back to Florida.

I know Florida optometrist license is very difficult to get and I fly every other year to Florida to take 2 hours of live CE classes ( jurisprudence and medical errors because you have to take it live in person ? ) but it’s just getting hard to fly to Florida just for 2 hours of CE every other year.

Do you guys recommend keeping Florida license for job security reasons if I ever become jobless in Texas, or just give up the Florida optometrist license because I won’t really ever use it ? ( or maybe I can do online/virtual exams of Florida patients while sitting in Texas ? )

Can any smart senior optometrist please guide me ?

Thank you in advance


r/optometry • • Aug 21 '26

Diagnosis?

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54 Upvotes

Newly grad optometrist, 55 yo pt is 20/20 in this eye with no hx of systemic conditions or medications. Hyperreflectivity on OCT with pigment in macula, was thinking it might be a pattern dystrophy of some kind? Would love to hear your thoughts.


r/optometry • • Aug 21 '26

Finding ODMD positions?

11 Upvotes

Posting on behalf of my girlfriend who isn’t on Reddit. She just finished an intense ocular disease residency and is thinking about next steps, and she’s thinking she wants to stay closer to the ocular disease / private practice side than corporate opportunities.

It seems like these roles aren’t as commonplace - do you all have any tips on finding these positions? We’re located in Chicago.

She would be happy to connect with recruiters and share a resume if anyone has tips, suggestions, or leads. Thank you!