HEALTH TECHNICIAN (OPHTHALMOLOGY)

Ophthalmology Technician

Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. The Health Technician (Ophthalmology) performs a range of standard, but complex, diagnostic procedures, assists during clinic-based surgical procedures, educates patients and legal representatives, assists with the education of medical students and residents. At the full performance level, the Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures.

The following clinical duties and responsibilities are expected but not limited to:

• Checks and performs calibration of technical ophthalmology screening instruments.
• Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs and symptoms; current medication allergies; past ocular and general medical history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non prescription medications.
• Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole.
• Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
• Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect.
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter.
• Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops, or antibiotics).
• Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry.
• Performs pachymetry to determine corneal thickness and manual keratometry or topography to determine corneal curvature.
• Performs intra-ocular lens calculations using an IOL Master or equivalent device.
• Performs automated visual field testing using various perimetry machines.
• Performs external photographs and fundus photography.
• Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
• Performs patient screening and triage of potentially urgent ocular conditions.
• Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra vitreous injections, and laser surgical procedures.
• Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.
• Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations.
• Ensures proper cleaning and disinfection; calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering.

Work Schedule: Monday through Friday - 8:30 am to 5:00 pm

Telework: Not Available

Virtual: This is not a virtual position.

Functional Statement #: 00000

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

US Department of Veterans Affairs