1. 2016 AND BEYOND Paras of the future Desinee Drakulich O.D.

2. DISCLAIMER I do not have any affiliations nor am I paid by any of the companies that are used in this presentation.

3. 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.

4. 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.

5. IN OUR OFFICE Paras perform the following duties Visual fields OCT Optos/Fundus photography AR AL IOP BP Color/Stereo History Contact lens I & R And much more

6. 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.

7. REFRACTION

8. STONE AGE

10. MEDIEVAL TIMES

11. THE PRESENT

12. FUTURE

13. CORNEAL TOPOGRAPHY

14. WAVEFRONT TECHNOLOGY

15. COLOR AND STEREO TESTING

16. STONE AGE

17. MEDIEVAL TIMES

18. RESULTS

19. PRESENT

20. DEPTH PERCEPTION

21. FUTURE

22. TONOMETRY

23. THE STONE AGE Schioetz

24. MEDIEVAL TIMES Goldmann Tonopen Pascal

25. THE INQUISITION Not the puff of air!

26. WELCOME TO THE FUTURE

27. DIABETES TESTING

28. THE STONE AGE

29. MEDIEVAL TIMES

30. TODAY

31. FUTURE

32. VISUAL FIELD TESTING

33. STONE AGE

34. MEDIEVAL TIMES

35. THE PRESENT

36. FUTURE

37. IN OFFICE LABORATORY TESTING

38. 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.

39. DRY EYE

40. TEAR OSMOLARITY

41. OSMOLARITY RESULTS

42. THE RED EYE

43. DETECTION OF VIRUS

44. OCULAR ALLERGY

45. GENETIC TESTING

46. DRY MACULAR DEGENERATION

47. WET MACULAR DEGENERATION

48. 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.

49. QUESTIONS

50. THANK YOU