Best Careers 2009: Optometrist

By Marty Nemko

Posted: December 11, 2008

Overview. Optometrist. Ophthalmologist. Optician. Many people confuse them, but a career as an optometrist offers unmistakable advantages. Optometrists on average earn more than twice as much as opticians (the people who grind lenses and fit you for glasses). And optometrists get to do most of what ophthalmologists do, without the medical degree: diagnose and treat eye diseases, perform minor surgery (in some states), and of course fit people for glasses and contact lenses. Yet the required training is years shorter than it is for an ophthalmologist: a four-year, post-bachelor's program.

With so many aging boomers in need of vision care, the job prospects are strong. Laser surgery that corrects vision problems has slightly diminished demand for optometrists, but in the future that's likely to be outweighed by demographic trends and other factors. There's also a lot of satisfaction in this career, since most vision problems can be corrected with lenses or relatively minor surgery.

Because the job is so appealing, it can be tough to land a spot in optometry school. Most optometrists are self-employed, so it helps if you have an entrepreneurial bent and a knack for smart marketing approaches, like conducting free vision screenings in shopping malls.

A Day in the Life. Like most optometrists, you're in private practice, so you're responsible for the business side of your shop as well as the clinical work. Your office is based in a Wal-Mart; you pay a percentage of your income to the retail chain in exchange for the plum location. You start the day by handling some paperwork, then turn to writing an article on glaucoma for a local newspaper that serves an older population; that will probably bring in some business. Your first patient, like most, is there to get fitted for new glasses and contact lenses. But in the course of doing the exam, you see signs of hypertension, so you urge him to see his doctor about this. Your next patient is considering LASIK surgery, and you outline the pros and cons. There are routine patients, but a few challenging ones, too. One woman who recently had cataract surgery sees you for follow-up care. You prescribe glaucoma medication for another patient. Then there's a legally blind man whom you fit with a magnifier that will enable him to read. Your final patient has strabismus (she's cross-eyed). You walk her through a series of exercises and prescribe a set of prisms she can use at home.

Smart Specialty

Pediatric optometry. The eye problems of children are generally among the most remediable. And the American Optometric Association projects high growth in this niche.

Salary Data

Median (with eight years in the field): $103,000

25th to 75th percentile (with eight or more years of experience): $86,500-$124,000

(Data provided by PayScale.com)

Training

The American Optometric Association publishes links to the websites of all the accredited optometry schools in the United States and Canada.

Learn More

semi retired optometrist

I was a solo practicing optometrist for 35 years and made a good living. At age 64 I sold my practice to a corporate chain and now have a three year employment contract at their location, in a shopping center one mile down the road from my solo location. I own the real estate that I practiced in and I rent

it out since I no longer need it.The corporate position involves no paper work

which makes it a completely optometric practice for me. The money is not as good

but at this stage that factor is not as important. I am there to make an orderly

transfer of my old patient base to the corporate group.This is the reason for the three year employment contract.

Private practice, although set with insurance and paper work frustrations, is the

only satisfying way for an optometrist to practice.The Walmart positions as well as what I do now for these three years, pay a decent wage but lack the

doctor-patient relationship that private practice produces.

Bennett of VA @ Dec 18, 2009 16:55:12 PM

The answer to your questions

I am a SUNY 2013 optometry student and I think that it is up to the individual to decide how their career as an optometrist will pan out.

I just wrote an article about it on my website... Check it out

http://optometrystudents.com/a-positive-view-of-optometry/

Matt Geller of NY @ Dec 03, 2009 00:08:14 AM

Good luck

Consider this if you want to be an optometrist: you have to work after hours and saturdays (and some public holidays). Some vision insurances paid as little as $40 per eye exam (I paid $85 to have a service on my door). For some insurances, you do not even know they will pay at all. Sure you can perform most of what ophthalmologist can. But insurances do not pay the same rate to optometrist. Besides, you need to manage an office and paper works (more time needed than on patients). So you need to work long hours and after hours to catch with other profession.

There are more to said about the profession and yes, I am an optometrist myself and I am not so sure I am in the right profession after 10 years.

Richard of MA @ Dec 02, 2009 11:21:58 AM

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