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Optometry or ophthalmology? A historical review of early literature.

In scientific literature dating back to the days of Leonardo da Vinci and earlier, all works and discoveries--be they in eye care, eyewear, ocular anatomy or surgery--are reported from a medical viewpoint as "contributions" to the development of ophthalmology. This paper reviews some of the early literature, points out those events that lay the foundation for the profession of optometry, and encourages optometrists to preserve their profession's heritage through research and writing from an optometric point of view.

Europe

Acquired immune deficiency syndrome: implications for optometry and the public health.

Recognized in 1981, acquired immune deficiency syndrome or AIDS has become a worldwide epidemic. HIV virus is believed to be the causative agent and acts primarily upon T-helper lymphocytes and nerve tissue, damaging the body's immune system. Ocular and systemic opportunistic infections result. Transmission is primarily by intimate contact with infected blood or semen. The virus has been found in eye tissues and raises questions about safety during eye care delivery, as well as optometry's role as a primary eye care profession.

Acquired Immunodeficiency Syndrome

The United States Food and Drug Administration and the practice of optometry.

In the past decade the United States Food and Drug Administration has become increasingly involved with the regulation of materials used in the practice of optometry. It is the purpose of this paper to help the practitioner understand the FDA involvement, historically and legally, organization, how one can have input into the process, the procedures for testing and approving new drugs and devices, their regulation and the advantages and disadvantages of such control.

History, 20th Century

Quality assurance and optometry.

About 120 years ago the first attempt to determine the quality of treatment was made. Today, in the face of increased consumer awareness, third party payments for optometric care, and the advent of National Health Insurance legislations optometry must prepare itself for quality assurance programs. Specific methods are described along with the steps necessary to accomplish the needs of the profession.

Humans

The age of specialization and its future influence on optometry.

As overview of the future role of specialization in optometry is presented, and topics such as the necessity and desirability of optometric specialties, certification of specialists, referrals to specialists, training of specialists, and the impact of public opinion, governmental programs, expanded use of the optometric auxiliaries, and advances in technology on optometric specialization are examined.

Allied Health Personnel

Carel C. Koch Memorial Lecture--1977. Optometry-Ophthalmology--the future.

In looking to the future of optometry and ophthalmology, the author identifies four interacting components--the public, optometrists, ophthalmologists, and eye-health-care manpower, including opticians--which he evaluates. The interactions are discussed, and specific recommendations are made to improve relations between the two professions,

Economics, Medical

Neuro-optometry: an evolving specialty clinic.

Neuro-optometry is evolving as an optometric clinical specialty focusing on neurological dysfunctions of the visual system. Initially, we focused upon abnormalities of ocular movements, and our investigations have now broadened to include static and dynamic measurements of eye movements, accommodation, and the pupil. We feel the clinic serves three fundamental purposes: (1) to provide service to the patient, (2) to perform clinical research, and (3) to broaden the scope of the students' clinical experience. Operation of the clinic, technical methods of measurement, the testing protocol, and examples of interesting clinical recordings are described.

Accommodation, Ocular

Charles F. Prentice Memorial Lecture--1976. Optometry curriculum patterns in Europe.

The education and training of optometrists--more appropriately, ophthalmic opticians--in the western countries of the European continent differ in content and amount from that found in English-speaking countries, particularly the U. S. Current curriculum patterns for 12 European countries are presented. Formalized basic education before professional training averages 9.4 academic years; formalized course work, identified with curricula of schools of optics and optometry, averages 2.8 academic years; and required apprenticeship time averages about 2 years.

Curriculum

Optometry in Israel--a clinical externship.

In recent years, it has become the policy of optometric institutions to expand the scope of the clinical education experience beyond the geographical locale of the parent facility. This article is a presentation of the background and description of one such clinical program organized by the New England College of Optometry with the cooperation of the Department of Ophthalmology Hadassah Hebrew Medical Center, Jerusalem, Israel.

Contact Lenses

What should be optometry's role? How should we prepare for it?

This is a position paper which broadly states the role which, in the author's opinion, optometry should adopt as its goal and the educational environment in which we can best prepare graduates to fulfill that role. The role briefly stated, is that of first contact supplier of vision care and of certain aspects of primary health care. The appropriate educational milieu is held to be the academic health center.

Ophthalmology

Myopia in optometry students: family history, age of onset and personality.

The relationship between refractive error and family history, age of onset and personality was investigated in 189 optometry students. Subjects completed a questionnaire requesting details of their refractive history, type of correction and their family history. Subjects also completed an Eysenck Personality Inventory (EPI). Subjects were categorized as hyperopes, emmetropes or myopes on the basis of their questionnaire responses. No significant relationship was found between refractive group and the prevalence of myopia in parents. Myopic subjects, however, showed a significantly higher prevalence of myopic siblings. Furthermore, late-onset myopes showed a higher prevalence of myopic siblings than early-onset myopes. No significant personality differences were found between the refractive groups.

Adolescent

National health and optometry--a survey of public attitudes.

A stratified probability sample of the Houston, Texas population was interviewed to assess public opinion of national health care and public awareness of vision care and its role in a national health care system. Over 80% of the population surveyed are in favor of a national health care bill, with a large percentage of the population favoring inclusion of vision care. Demographic trends are reported as they relate to various questions in the survey, and comparisons are made to a similar questionnaire one year earlier.

Attitude to Health

Primary health care - the role of optometry.

Optometrists, like all health care providers, should emphasize primary or preventive care. To provide this care optometrists must be aware of the risk factors for major causes of mortality. As an example, the risk profile for a white male age 45 to 49 years is given and discussed. Suggestions for primary vision care and detection of major risk factors by optometrists are also presented.

Forecasting