Appendix F: International standard classification of eye health professionals161

Health cadre Responsibilities Training
Ophthalmologists
  • Diagnose, treat (medically and surgically), and prevent eye diseases, ailments and injury, using specialised procedures and techniques, applying principles of modern medicine to deliver comprehensive eye care.

  • May also diagnose general diseases of the body and treat ocular manifestations of systemic diseases.

  • Medical practitioner with at least 7 years of medical study and who has had specialised post-graduate training in ophthalmology.

  • Ophthalmologists may further train in subspecialities.

Optometrists
  • Provide comprehensive eye and vision care, which includes refraction and dispensing, detection or diagnosis, and management of disease in the eye, and the rehabilitation of conditions of the visual system.

  • At a minimum, has completed a bachelor’s degree and is licensed or registered.

  • Optometrists are not medical doctors.

Mid-level eye care workers
  • Heterogeneous group of staff with specialist ophthalmic training, but who can perform fewer competencies than an optometrist.

  • Diagnose and treat eye illnesses and refer patients with conditions beyond their scope of practice.

  • Wide range of training varying across countries.


  1. WHO Regional Office for Africa. Core competencies for the eye health workforce in the WHO African region. WHO; 2019.↩︎