Patient Rights Healthcare Team What Is an Ophthalmologist? How an Eye Doctor Differs From an Optometrist By Andrea Clement Santiago facebook twitter linkedin Andrea Clement Santiago is a medical staffing expert and communications executive. She's a writer with a background in healthcare recruiting. Learn about our editorial process Andrea Clement Santiago Medically reviewed by Medically reviewed by Johnstone M. Kim, MD on February 11, 2020 Johnstone M. Kim, MD, is board-certified in ophthalmology. He's a practicing physician at Midwest Retina in Dublin, Ohio and previously served as a full-time faculty member at the Wayne State University School of Medicine and the Kresge Eye Institute in Detroit, Michigan. Learn about our Medical Review Board Johnstone M. Kim, MD on February 11, 2020 Print Table of Contents View All Concentrations Procedural Expertise Subspecialties Training and Certification Appointment Tips An ophthalmologist is a physician who specializes in the medical and surgical care of the eyes and vision. Also known as eye doctors, ophthalmologists are the only practitioners trained to provide comprehensive diagnosis and treatment of eye disorders. They can perform eye exams, dispense medications, prescribe corrective lenses (eyeglasses or contacts), and perform eye surgery. Ophthalmologists should not be confused with optometrists (who treat certain eye disorders but do not perform surgery) or opticians (who design, fit, and dispense corrective lenses). Ophthalmologists in the United States are required to complete four years of college, four years of medical school, and four to five years of additional specialized training. Verywell / Jessica Olah Concentrations Ophthalmology is the specialty concerned with the medical and surgical care of the eye, eye orbit (socket), optic tract (the visual nerve network), and visual cortex (the part of the brain that process nerve impulses from the eyes). Ophthalmologists treat a variety of eye disorders from common vision deficiencies to conditions that can lead to partial or complete blindness. Ophthalmologists will often work with other specialists in cases where vision loss is secondary to another medical condition, such as diabetes or HIV. Among the conditions an ophthalmologist is able to diagnose and treat: Amblyopia (also known as "lazy eye")Anisocoria (unequal pupils)Astigmatism (blurring of vision caused by an irregular cornea)Cataract (clouding of the lens of the eye)Chalazion (a swollen bump in the eyelid)Conjunctivitis (also known as "pink eye")Cytomegalovirus retinitis (a serious viral infection of the eye, most commonly in people with advanced HIV infection)Dermoid cyst (a benign eye tumor)Detached retina Diabetic retinopathy (retinal damage caused by diabetes)Eye cancer (most commonly basal cell carcinoma)Eye occlusion (also known as an "eye stroke")Eye trauma (ranging from abrasion to orbital fracture)Fuch's dystrophy (clouding of the cornea)Glaucoma (loss of vision often due to elevated eye pressure)Herpes zoster ophthalmicus (eye shingles)Hyperopia (farsightedness)Hyphemia (broken blood vessels in the eye)Keratoconjunctivitis sicca (dry eye syndrome)Keratoconus (an abnormal bulging of the cornea)Macular degeneration (an aging-related loss of vision)Macular dystrophy (an inherited loss of central vision)Milia (eyelid cyst)Myopia (nearsightedness)Nystagmus (uncontrollable eye movement)Ocular herpes (caused by herpes simplex virus type 1)Optic neuritis (vision problems related to inflamed nerves)Pingueculae (benign growths on the eyeball)Proptosis (bulging eyes)Pterygia (also known as "surfer's eye")Ptosis (drooping eyelids)Retinitis pigmentosa (a genetic disorder that causes the breakdown of retinal cells)Strabismus (misalignment or deviation of eyes)Tear duct obstructionUveitis (inflammation of the middle layer of the eye) Aging-Related Eye Problems and Diseases Procedural Expertise An ophthalmologist typically works in an office outfitted with equipment for eye exams. More complex imaging or exploratory tests may be conducted in a hospital or medical facility. Athough some eye surgeries can be performed in the doctor's office, others may require an operating room in a hospital. Eye Examination An eye exam consists of a series of tests that assess the state of your vision and your ability to focus on and discern objects. The basic test includes: Visual acuity exam, using an eye chart or other tools to evaluate how your vision compares to that standard definition of normal vision (i.e., 20/20 vision)Refraction testing, using a retinoscope or auto-refractor, to measure how light bends when it passes through the lensPupil function exam, which evaluates the pupil's shape, size, and reaction tolight (often with a swinging-flashlight test used to assess the optic nerve response)Ocular motility testing, which measures the strength of your eyes muscles, typically by asking you to follow the doctor's finger with your eyesVisual field testing, which examines your peripheral vision by asking you to count the number of fingers held outside of your central field of visionSlit lamp testing, using a table-mounted microscope to view the interior of your eye as a small beam of light is directed through the pupil An eye examination can be performed by an ophthalmologist, optometrist, or orthoptist (an allied medical technician trained in the diagnosis and management of eye movement disorders). Specialized Tests In addition to a basic eye exam, an ophthalmologist may order specialized tests and imaging studies, some of which require a trained technician. Examples include: Applanation tonometry, a technique using a tonometer to measure the amount of pressure needed to flatten the corneaCorneal topography, in which a topographic map of the cornea is created using a non-invasive computerized imaging deviceEye ultrasonography, a non-invasive imaging technique that uses high-frequency sound waves to form a live image of your inner eyeFluorescein angiography, using a fluorescent dye and a specialized camera to evaluate blood circulation in the eyeOptical coherence tomography, an imaging technique that uses light waves to create two- and three-dimensional images of the internal eye Treatments There is an almost encyclopedic range of drugs (including eye drops, injections, and oral medications) used in ophthalmology. Some are over-the-counter remedies and supplements used to treat dry eye or prevent progressive disorders like macular degeneration. Others require a prescription and/or administration by a medical professional. These include expensive antivascular endothelial growth factor (anti-VEGF) drugs used to treat macular degeneration and certain types of eye cancer. In addition to medications, an ophthalmologist can prescribe corrective lenses, including bifocal, multifocal, and progressive eyeglasses and contacts. Unlike optometrists, ophthalmologists can perform more sophisticated medical procedures and surgeries. Some of the more common include: Bionic eye implants, currently available as the Argus II Retinal Prosthesis System used for people with severe retinitis pigmentosaBotox injections, sometimes used in place of surgery to correct misaligned eyes by temporarily paralyzing orbital musclesCataract surgery, in which a cloudy lens is replaced with an artificial oneCorneal transplant, in which diseased or scarred corneal tissue is replaced with healthy tissue from an organ donorEnucleation and eye prosthesis, the removal of a diseased or damaged eye followed the insertion of an artificial, nonfunctioning eyeGlaucoma surgery, using lasers or standard surgical tools to increase fluid outflow from the iris or remove a portion of the irisOculoplastic surgery, a subspecialty of ophthalmology that deals with the reconstruction of the eyelid, orbit, tear ducts, and faceOrbital decompression used to relieve the characteristic eye bulging associated with Grave's diseaseRefractive surgery, including LASIK surgery, to correct errors of refraction, reducing or eliminating the need for corrective lensesStrabismus surgery used to adjust eye muscles to straighten misaligned eyesVitrectomy, a procedure removes the gel-like substance in the eye, called the vitreous humor, to correct vision problems 8 Reasons Lasik Surgery May Not Be Right for You Subspecialties While many ophthalmologists will choose to operate a general ophthalmology practice, as many as 40 percent will specialize in a specific field of ophthalmology, according to the American Medical Association. These include: Cataract and refractive surgeryCorneal and external diseasesGlaucomaNeuro-ophthalmology (related to the brain and optic nerves)Ocular pathology (the diagnosis of eye disease)Oculoplastics (cosmetic and reconstructive surgery)Ophthalmologic oncology (related to cancer)Pediatric OphthalmologyUveitis and ocular immunology (inflammatory eye diseases)Vitreoretinal diseases (involving the retina or vitreous humor) Training and Certification An ophthalmologist is a medical doctor (MD) or an osteopathic doctor (DO) who specializes in eye and vision care. To enter medical school, you must first get a bachelor's degree, complete the prerequisite premedicine studies (including advanced math, science, and biology), and take the Medical Competency Aptitude Test (MCAT). Medical school involves two years of classroom studies and two years of clinical rotations in different medical facilities. Upon graduation, you would need to obtain a medical license in the state in which you intend to practice. This usually involves passing the United States Medical Licensing Examination (USMLE) if you are an MD or the Comprehensive Osteopathic Medicine Licensing Examination (COMLEX) if you are a DO. Some states also require you to pass a state exam. After getting your license, you would need to complete a one-year internship focused on direct patient care. This would be followed by a one-year residency program in general surgery and a three-year residency in ophthalmology. Upon completion of the residency, you can obtain board certification by passing a written and oral exam administered by the American Board of Ophthalmology (ABO). The certification is valid for 10 years during which time you must take regular continuing medical education (CME) courses to be eligible for recertification. Some ophthalmologists will embark on additional one- to two-year fellowships to specialize in a specific field of practice. A pediatric fellowship, for example, involves an additional year of training, while a corneal fellowship will usually require two. Appointment Tips Seeing an ophthalmologist can be stressful for people who find eye procedures uncomfortable or unnerving. To allay your nerves, it often helps to know what to expect if referred for treatment. Your first visit to the ophthalmologist would involve a comprehensive evaluation that will take around one and a half hours to complete. It may take longer if you need specialized testing or have a complex eye condition. Be sure to bring your ID, insurance card, and a list of any medications you are taking. If you have had previous eye surgeries, bring along any medical records you have or ask the treating doctor to forward them electronically in advance of your appointment. Feel free to ask any questions you need to better understand your condition and the procedures involved. Examples include: Can you go over the eye exam and tell me what the tests mean?What is the cause of my vision loss?Is my condition stable, or can I lose more sight?Are there symptoms should I watch out for?What treatments are available, and what do they involve?What is the success rate?What are the risk and possible side effects?Is there anything I should avoid during treatment?Are there alternative treashouldI should consider?What might happen if I decide not to be treated? Always be sure to check whether the recommended procedures are covered, at least in part, by your health insurance. This includes checking whether the labs and medical facilities are in-network providers. If not, ask your doctor or insurance company for a list of in-network providers if affordability is a concern. You can check their credentials by using the ABO physician verification webpage. A Word From Verywell There are qualities and characteristics every ophthalmologist needs to be successful. They include exceptional manual skills, excellent hand-eye coordination, and the ability to communicate effectively and empathetically to ease the anxiety of patients. The training can be especially taxing for young ophthalmologists given the stress of dealing with vision loss and the minutiae of detail involved in the work. According to a 2018 survey conducted by the University of Washington, no less than 63.3 percent of residents experienced burnout during the course of their training. Like other physicians, ophthalmologists can operate their own practice or join a group practice with physician partners. They can also work as an employee of a hospital, in an outpatient clinic, or in an academic or research setting (typically requiring a PhD degree). According to the annual Medscape Ophthalmologist Compensation Report, ophthalmologists in the United States earned an average of $357,000 in 2018. 3 Reasons Why You Need an Eye Exam Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Medical Association. Ophthalmology. Chicago, Illinois: AMA Feng, S.; Taravati, P.; Ding, L. et al. Burnout in Ophthalmology Residency: A National Survey. J Acad Ophthalmol. 2018; 10(01): e98-e107. DOI: 10.1055/s-0038-1666850. Grubbs, J.; Arbor, A.; and Mian, S. Advising Students Interested in Ophthalmology: A Summary of the Evidence. Ophthalmology. 2016 July;123(7):1406-10. DOI: 10.1016/j.ophtha.2016.04.016. Thulasi, P. and Djalilian, A. Update in Current Diagnostics and Therapeutics of Dry Eye Disease. Ophthalmology. 2017 Nov;124(Suppl 11): S27-S33. DOI: 10.1016/j.ophtha.2017.07.022.