Wholelottarob

...in the last ten or even twenty years, optometrsists have either gained the legislative privilege and educational preparation to diagnose and manage most of the common forms of glaucoma. The ophthalmologist might find it heartening then, that a referral from a more progressive optometrist might not be a false positive referral (one that is assumed to have glaucoma but doesn’t require medical treatment). In these cases, the optometrists will liekly refer a patient who may have an advancing form of glaucoma that may not be amenable to a single or even dual topical therapy.

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The traditional image of an optometrists has unfortunately hobbled the collaborative nature between the two professions. I even think that most optometrists pine for those older days past when such distinctions prevailed. For collaboration to advance, there must be some recognition that optometrists are no longer willing to be confined to the model of "detect-and-refer."

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The ophthalmologist must trust the optometrist that no harm will come to a patient under joint care. The optometrist must trust the ophthalmologist that the patient won't be hijacked. If either feels that these are unalterable obstacles, then the preexisting struggle of the two ECPs will persist.

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