Therefore, given that a co-managing optometrist plays an important role in patient care, patients should consider each doctors' experience and the relationship between the two doctors carefully. This fee for service structure is at the heart of heated controversy in both ophthalmic and optometric circles. In addition, the International Society of Refractive Surgeons recently declared that co-management is permissible and is in the process of developing guidelines. Unless the patient was to ask about the relationship behind the recommendation, he or she would have little context for that recommendation. Similarly, the ophthalmologist may or may not be familiar with the optometrist's level of experience or expertise in treating the refractive surgery patient.
Some patients are unaware of the differences between ophthalmologists and optometrists.
Optometrists do not possess a Doctor in Medicine degree. Examinations may also include testing for color perception, depth, and the ability to focus and coordinate the eyes. Optometrists must be licensed, have a Doctor of Optometry degree, and pass a state board examination. If a person required medical or surgical care for an eye disease or an eye injury, he or she will seek the assistance of an ophthalmologist. Ophthalmologists must acquire a Doctor of Medicine degree, a broad knowledge of general medicine, and clinical training.