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cover of episode Knock Knock Eye: Optometrist vs. Ophthalmologist: What’s the Real Difference?

Knock Knock Eye: Optometrist vs. Ophthalmologist: What’s the Real Difference?

2025/7/3
logo of podcast Knock Knock, Hi! with the Glaucomfleckens

Knock Knock, Hi! with the Glaucomfleckens

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Dr. Glaucomflecken: 作为一名眼科医生,我经常被误认为是验光师。所以我想解释一下眼科医生和验光师的区别,以及我们如何合作。验光师通常在大学毕业后进入验光学校学习四年,之后可以进行额外的培训项目。他们主要进行视力检查,为需要眼镜或隐形眼镜的人提供服务,也可以处理一些常规的眼科医疗问题,如干眼症或糖尿病筛查,并可以开眼药水。眼压计通常只在验光师的诊所里才能看到,因为过去验光师不允许使用麻醉眼药水来更准确地检查眼压。如果患者需要白内障手术、青光眼治疗或黄斑变性等进一步的干预,通常会转诊给眼科医生。我的诊所雇用了验光师,我们合作得很好,验光师在光学、隐形眼镜验配和低视力辅助方面非常熟练,也更擅长屈光检查。当然,眼科医生和验光师之间也存在执业范围的问题,例如YAG囊切开术和切开式眼睑手术等。

Deep Dive

Chapters
This chapter clears up the confusion between optometrists and ophthalmologists, outlining their education, areas of expertise, and how they collaborate. It addresses the common misconception and clarifies their respective roles in eye care.
  • Optometrists complete four years of optometry school and may pursue additional one-year programs.
  • Ophthalmologists complete four years of college, four to five years of medical school, and a four-year residency, with some pursuing fellowships.
  • Optometrists primarily handle vision exams, routine eye issues, and prescribe eye drops.
  • Ophthalmologists manage more complex medical and surgical eye conditions.

Shownotes Transcript

You ever have someone call you an optometrist when you're, say, very much not? Yeah… that happened again. So in this episode, I’m laying out the not-so-subtle (and sometimes very contentious) differences between optometrists and ophthalmologists—education, lasers, the whole thing. We also dive into the thin but mighty conjunctiva, the raging war against red eyes, and yes, my completely unsolicited but deeply held thoughts on AI in healthcare. Spoiler: I don’t hate it, but I am watching it like it might try to prescribe eyedrops.

Takeaways:

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There’s a reason you never see an ophthalmologist use the puff machine—and it’s not snobbery.

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AI in healthcare? Will’s got opinions. Cautiously optimistic, mostly side-eye.

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Optometrists and ophthalmologists mostly play nice—until lasers get involved.

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If you're itchy, red, and goopy, there’s a good chance your eyeballs are trying to tell you something very specific.

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Someone invented ointment and basically saved ophthalmology. We owe them a smooch.

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A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠) for more information. 

Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out.

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