Advancing the Scope of Practice for Pennsylvania Optometry

As optometrists, we have the privilege of being the first line of defense in protecting our patients' vision and eye health. However, as the demands of healthcare evolve, so too must our ability to provide comprehensive care. The need to advance the scope of practice for optometry in Pennsylvania has never been more critical. It’s not just about enhancing what we can do—it's about ensuring that our patients receive the best possible care and that our profession continues to thrive in the future.

Across the country, we’ve seen significant strides in scope expansion. States like Kentucky, Louisiana, and Oklahoma have successfully advanced their scope of practice, allowing optometrists to perform procedures such as laser surgeries, administer injections, and manage a broader range of ocular conditions. These advancements didn't happen overnight—they were the result of persistent advocacy, rigorous training, and a commitment to patient safety.

One of the most compelling arguments in favor of scope expansion comes from a study that evaluated the safety and effectiveness of advanced optometric procedures. This study found that doctors of optometry perform these procedures with a high degree of safety, comparable to other healthcare providers. The findings underscore what we have known all along: that with the right training and education, optometrists are more than capable of delivering advanced care safely and effectively.

So, why should Pennsylvania optometrists advocate for scope expansion? Here are the top five reasons:

1. Improved Access to Care: Expanding our scope allows patients to receive comprehensive care more quickly, without unnecessary referrals or delays.
2. Enhanced Patient Outcomes: With the ability to manage more complex cases, optometrists can provide more timely interventions, leading to better outcomes for our patients. 
3. Cost-Effective Care: By enabling optometrists to perform advanced procedures, we can reduce the overall cost of eye care by minimizing the need for multiple specialists.
4. Reduction in Healthcare Burden: As primary eye care providers, expanding our scope allows us to alleviate the burden on other healthcare providers, particularly in underserved areas.
5. Professional Growth and Satisfaction: Scope expansion opens new avenues for professional development, allowing us to grow and excel in our careers while meeting the evolving needs of our patients.

While many optometrists in Pennsylvania are content with their current practice, it is essential to recognize that scope expansion is not just about today—it’s about our future. It's about ensuring that the next generation of optometrists has the tools and authority to meet the challenges of tomorrow's healthcare landscape. 

If we are not advancing, we are moving backward, not just simply standing still. By resisting change, we risk being left behind, not only as a profession but in our ability to provide the highest standard of care to our patients. As we look to the future, let’s remember that the fight for scope expansion is not just for us—it’s for every optometrist who will follow in our footsteps, and for every patient whose vision and quality of life depend on our care.

Let’s work together to ensure that Pennsylvania remains at the forefront of optometric care, providing our patients with the best that our profession has to offer.

In Service and Progress,  

James Deom, O.D., M.P.H., F.A.A.O., F.S.L.S. 

President, Pennsylvania Optometric Association