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2016 AND BEYOND
Paras of the future
Desinee Drakulich O.D.
DISCLAIMER
• I do not have any affiliations nor am I paid by
any of the companies that are used in this
presentation.
HISTORICAL OVERVIEW
• Optometry can be traced back to the 1200's
• Traditionally optometrists did most of the clinical and optical work on their
own.
• As optometry became a more accepted practice the profession exploded.
• With the ever changing health care system optometry has stepped up as
the primary entry point for eye care.
• With this increasing demand optometrist had to relinquish their all
encompassing duties and start delegating.
• This is where the paraoptometric was born.
IN THE BEGINNING
• In the beginning the para’s primary duty was to ensure a smooth patient
flow and keep the doctor on schedule.
• As optometric testing became more automated the para’s responsibilities
grow beyond imagination.
• Currently in our state, there are two different levels of delegation an
optometrist can do.
• Direct supervision – refractions, administration of drop etc.
• Indirect supervision – visual fields, OCT etc.
IN OUR OFFICE
• Paras perform the following duties
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Visual fields
OCT
Optos/Fundus photography
AR
AL
IOP
BP
Color/Stereo
History
Contact lens I & R
And much more
NOW TO THE FUN STUFF
• In the future, I believe more automated testing and procedures will open up
new doors for paraoptometrics.
• So lets take a glance into the past and a peak into the future of
paraoptometrics.
REFRACTION
STONE AGE
STONE AGE
MEDIEVAL TIMES
THE PRESENT
FUTURE
CORNEAL TOPOGRAPHY
WAVEFRONT TECHNOLOGY
COLOR AND
STEREO
TESTING
STONE AGE
MEDIEVAL TIMES
RESULTS
PRESENT
DEPTH PERCEPTION
FUTURE
TONOMETRY
THE STONE AGE
Schioetz
MEDIEVAL TIMES
Goldmann
Tonopen
Pascal
THE INQUISITION
WELCOME TO THE FUTURE
DIABETES
TESTING
THE STONE AGE
MEDIEVAL TIMES
TODAY
FUTURE
VISUAL FIELD
TESTING
STONE AGE
MEDIEVAL TIMES
THE PRESENT
FUTURE
IN OFFICE
LABORATORY
TESTING
THE PAST
• In office laboratory testing was pretty much none existent in optometry until
recently.
• Due to lengthy test times and specialized equipment to analyze samples, it
was difficult and costly to do in office testing.
• Recently a series of less expensive, relatively simple tests have been
developed with optometry in mind.
• These test will be and are being performed by paras.
DRY EYE
TEAR OSMOLARITY
OSMOLARITY RESULTS
THE RED EYE
DETECTION OF VIRUS
OCULAR ALLERGY
GENETIC TESTING
DRY MACULAR DEGENERATION
WET MACULAR DEGENERATION
THE FUTURE IS BRIGHT
• Yes the future is bright for both
Optometrists and Paraoptometrics. I
believe with increasing technology and
the ever growing demand for primary
care providers our profession will continue
to have a wonderful future.
QUESTIONS
THANK YOU