154.1 - BOARD DEFINED -- OPTOMETRY -- DIAGNOSTICALLY CERTIFIED LICENSED OPTOMETRISTS -- THERAPEUTICALLY CERTIFIED OPTOMETRISTS.



        154.1  BOARD DEFINED -- OPTOMETRY -- DIAGNOSTICALLY
      CERTIFIED LICENSED OPTOMETRISTS -- THERAPEUTICALLY CERTIFIED
      OPTOMETRISTS.
         1.  As used in this chapter, "board" means the board of
      optometry created under chapter 147.
         2.  For the purpose of this subtitle, the following classes of
      persons shall be deemed to be engaged in the practice of optometry:
         a.  Persons employing any means other than the use of drugs,
      medicine, or surgery for the measurement of the visual power and
      visual efficiency of the human eye; persons engaged in the
      prescribing and adapting of lenses, prisms, and contact lenses; and
      persons engaged in the using or employing of visual training or
      ocular exercise for the aid, relief, or correction of vision.
         b.  Persons who allow the public to use any mechanical device
      for a purpose described in paragraph "a".
         c.  Persons who publicly profess to be optometrists and to
      assume the duties incident to the profession.
         3.  Diagnostically certified licensed optometrists may employ
      cycloplegics, mydriatics, and topical anesthetics as diagnostic
      agents topically applied to determine the condition of the human eye
      for proper optometric practice or referral for treatment to a person
      licensed under chapter 148.  A diagnostically certified licensed
      optometrist is an optometrist who is licensed to practice optometry
      in this state and who is certified by the board to use diagnostic
      agents.
         4.  Therapeutically certified optometrists may employ all
      diagnostic and therapeutic pharmaceutical agents for the purpose of
      diagnosis and treatment of conditions of the human eye and adnexa
      pursuant to this subsection, excluding the use of injections other
      than to counteract an anaphylactic reaction, and notwithstanding
      section 147.107, may without charge supply any of the above
      pharmaceuticals to commence a course of therapy.  Therapeutically
      certified optometrists may prescribe oral steroids for a period not
      to exceed fourteen days without consultation with a physician.
      Therapeutically certified optometrists shall not prescribe oral
      Imuran or oral Methotrexate.  Therapeutically certified optometrists
      may be authorized, where reasonable and appropriate, by rule of the
      board, to employ new diagnostic and therapeutic pharmaceutical agents
      approved by the United States food and drug administration on or
      after July 1, 2002, for the diagnosis and treatment of the human eye
      and adnexa.  The board shall not be required to adopt rules relating
      to topical pharmaceutical agents, oral antimicrobial agents, oral
      antihistamines, oral antiglaucoma agents, and oral analgesic agents.
      Superficial foreign bodies may be removed from the human eye and
      adnexa.  The therapeutic efforts of a therapeutically certified
      optometrist are intended for the purpose of examination, diagnosis,
      and treatment of visual defects, abnormal conditions, and diseases of
      the human eye and adnexa, for proper optometric practice or referral
      for consultation or treatment to persons licensed under chapter 148.
      A therapeutically certified optometrist is an optometrist who is
      licensed to practice optometry in this state and who is certified by
      the board to use the agents and procedures authorized pursuant to
      this subsection.  
         Section History: Early Form
         [S13, § 2583-g; C24, 27, 31, 35, 39, § 2574; C46, 50, 54, 58,
      62, 66, 71, 73, 75, 77, 79, 81, § 154.1] 
         Section History: Recent Form
         85 Acts, ch 248, § 1; 87 Acts, ch 119, § 1; 91 Acts, ch 9, §1;
      2002 Acts, ch 1026, §1; 2007 Acts, ch 10, §142; 2007 Acts, ch 159,
      §1; 2007 Acts, ch 215, §251; 2008 Acts, ch 1088, §106
         Referred to in § 154.10