Chapter 4725-7 Contact Lenses
An optometrist shall include at least the following specifications in the writing of a prescription for contact lenses:
(A) Rigid contact lenses
(1) Base curve
(2) Peripheral curve or curves, including curvature and width
(3) Overall diameter
(4) Optical zone diameter
(6) Center thickness
(9) Name of patient
(10) Date of examination
(11) Issue date and expiration of prescription
(12) Name, postal address, telephone number and facsimile telephone number of prescriber
(13) In the case of a private label contact lens, name of manufacturer, trade name of private label brand and, if applicable, trade name of equivalent brand name.
(B) Soft contact lenses
(1) Manufacturer and lens type
(3) Base curve
(4) Overall diameter
(6) Name of patient
(7) Date of examination
(8) Issue date and expiration of prescription
(9) Name, postal address, telephone number and facsimile telephone number of prescriber
(10) In the case of a private label contact lens, name of manufacturer, trade name of private label brand and, if applicable, trade name of equivalent brand name.
Rescinded eff 7-28-08
An optometrist in whose practice an unlicensed person performs duties shall not permit such unlicensed person to modify or order modification of any optical accessory which requires a prescription except upon written instruction of a licensed optometrist or physician.
An optometrist may permit an unlicensed person to perform the following duties in the optometric practice:
(A) Manufacture a rigid contact lens upon the written prescription of a licensed optometrist or physician, which prescription includes, as a minimum, the following: base curve, peripheral curve or curves (including curvature and width), over-all diameter, optical zone diameter, power, center thickness, color and material.
(B) Modify a contact lens upon written detailed instructions of the optometrist or physician.
(C) Verify finished lens(s) parameters prescribed by the optometrist in the practice, lenses prescribed elsewhere, or brought to the practice by prospective patients.
(D) Teach contact lens hygiene and lens care.
(E) Teach contact lens insertion and removal techniques.
An optometrist shall not permit an unlicensed person to perform the following duties in the optometric practice:
(A) Make the determination as to whether or not a patient may safely and comfortably wear contact lenses.
(B) Evaluate the physical fit of a contact lens through the use of a "black light" and fluorescein or any similar substance.
(C) Evaluate the physical fit of a contact lens through the use of a biomicroscope or other similar instrument with magnification qualities.
(D) Use a phoropter or hand-held lenses of any type for the purpose of determining the prescription or change in the prescription necessary for any optical accessory.
(E) Use a spectacle prescription or a prescription determined through the use of a lensometer, or its equivalent, on a pair of spectacles as a basis for designing, manufacturing or duplicating a new contact lens.
(F) Prescribe a schedule of wearing time for a patient.
(G) In any way attempt to exercise professional judgment or exercise professional skills which constitute the practice of optometry.
An optometrist will provide the patient on completion of the examination and diagnosis a copy of the prescription for any vision correcting item, device or procedure unless there are significant medical reasons which would prohibit the immediate release. The medical conditions restricting any release of the prescription must be documented in the patient's records.
(A) Diagnosis for determining the contact lens prescription shall be considered a review of the proposed contact lenses in the eye of the patient after an appropriate wearing period following the initial examination. The diagnosis review may be waived at the discretion of the examining optometrist. Patients who have successfully been wearing contact lenses and the examination does not require any major change in prescription or type of lens would be eligible for the issuance of the prescription at the completion of the examination.
(B) The examining optometrist may expire a contact lens prescription at the end of one year after the eye examination and completed diagnosis under normal circumstances. The prescription may be expired in less than one year based on the medical judgment of the examining optometrist with respect to the ocular health of the patient. The specific medical judgment must be documented in the patient's records.
(C) The examining optometrist may expire a spectacle prescription at the end of two years after the eye examination and completed diagnosis under normal circumstances. The prescription may be expired in less than two years based on the medical judgment of the examining optometrist with respect to the ocular health of the patient. The specific medical judgment must be documented in the patient's records.
(D) The patient cannot be required to sign any disclaimer or waiver in order to obtain a copy of the prescription to which the patient is legally entitled. The payment of the professional fee for the eye examination may be required prior to the issuance of any prescription. The acceptance of insurance, medicaid or medicare cards or any required copayments are considered the payment of professional fees.
Failure to release a copy of the prescription to the patient as required constitutes a violation of section 4725.28 of the Revised Code. An optometrist does not have to release an expired prescription.