Answers
1. TPA certified OD may dx/tx -infections of ant seg and adnexa
what conditions? -ocular allergies
-non surgical ocular inflammation >18 YO (iritis, keratitis, epis-
cleritis)
-post op surgical inflammation co-manage with surgeon
2. what can TPA certified OD not -infections of lacrimal gland/lacrimal drainage system and
dx/tx? sclera <12 YO (scope of practice 2018)
-2022 scope of practice says <18 YO
3. what are the non-surgical oc- -unilateral, non-recurrent, non-granulomatous, idiopathic iri-
ular inflammation conditions tis
you can tx in pt's >18 YO? -traumatic iritis
-peripheral corneal inflammation
-keratitis
-episcleritis
4. which type of GL can OD tx? POAG, PDS, PXF, and steroid-induced
-OD must be GL certified
5. can TPA certified OD use Rx yes
off label?
6. If using steroids, consult OMD 21 days (2018 scope of practice)
if worse in days
7. Rules for Rx codeine, hy- -limited to 3 days
drocodone with compounds -refer to OMD if pain persists
(Tylenol 3, Vicodin), [schedule
II], tramadol [schedule IV]
8. what can optometrists NOT ANTI-FUNGALS (2018 scope of practice); can now Rx anti-fun-
Rx? gals (according to 2022 scope of practice)
,
, 9. corneal scraping with cul- yes
tures allowed?
10. debriding corneal epithelium yes but not band k
allowed?
11. collecting blood via skin punc- yes
ture or venipuncture for test-
ing DM allowed?
12. suture removal allowed? yes, but with consultation with treating physician
13. treatment or removal of seba- yes
ceous cysts by expression al-
lowed?
14. giving oral fluorescein to pt's yes
with sus DR allowed?
15. using auto-injector for ana- yes
phylaxis allowed?
16. allowed to order smears, cul- yes
tures, sensitivities, CBC, uri-
nalysis, x-rays?
17. allowed to perform yes
CLIA-waived tests? -CLIA tests allowed for testing for systemic conditions (2022
scope of practice)
18. allowed to do laser, no
diathermy, cryotherapy?
19. yes