The Danger of Refractive Optometry Part Two

In a prior article, I spoke of how a recent trip to my Optometrist to check on my epilepsy related eye needs brought up a conversation about the dangers of "refractive Optometry".  My OD expressed concern about this growing trend in eye care.  This is part two of that discussion. 

Refractive Optometry (practicing merely to sell frames) has these 3 inherent dangers:

One – Optometric Oath Violation
 
Avoiding “sick eye” visits violates the Optometric Oath that reads:  “I WILL place the treatment of those who seek my care above personal gain and strive to see that none shall lack for proper care.”  Perhaps, referring them to another doctor fulfills that oath, but a need in front of you can meet is a need to be met.
 
Two – Skipping Your Privilege and Responsibility
 
Patients look to you as the caretaker of their eyes.  You know better than I, or anyone else, than you can discover cancer, high blood pressures, and countless other conditions with an eye exam.  Only practicing “refractive optometry” skips the privilege and responsibility that Optometrists have.  It also places a barrier between the patient and care.  If you refer out medical to Ophthalmologist, many patients will not seek that care.  I implore you.  Please do not do this.  Practice to the extent of your license.
 
Three – Missing Out on Profits
 
Some OD’s practice “refractive optometry” because they can make more money with eye exams and selling glasses.  This thinking produces the opposite of its desired effect.  Football teams don’t seek touchdowns only.  They don’t punt away their opportunities for field goals just because they are worth less than a touchdown.  Yes, “sick eye” exams don’t produce as much income as a comprehensive exam, but “sick eye” visits raise overall revenue per patient across the board.
 
Friends, thank you for being the wonderful eye care professionals that you are.  I am dependent upon my Optometrist to help me with my vision in light of my epilepsy struggles.  And you too play a crucial role in your patients’ lives.  To do so, please avoid refractive Optometry and offer full-scope care.  It will pay dividends for your patients and your practices.
 
Gordon Duncan is the CEO/Consultant of ProSight Success, offering advice, consultation, and development to the eye care profession.