Eye Care Assistant, Detroit

Clinical/Allied Health
208045 Requisition #


Eye Care Assistant- Certified (COA’s) performs administrative and clinical duties that vary by subspecialty. They work under direction or supervision of a physician who is licensed to practice medicine and surgery and is qualified in ophthalmology. In general, they take medical histories, measure visual acuity and intraocular pressure, record vital signs, assist in patient education/compliance, prepare patients for examination by the physician, and assist the physician during the examination and/or surgery. Ophthalmic allied health professionals are not independent practitioners and do not diagnose or treat eye disorders, nor do they prescribe medications.


  • Medical History Taking: Obtain and accurately record patient’s medical and ocular history including chief complaint, medications, allergies, and review of systems in accordance with compliance guidelines. Select and complete appropriate forms and protocol as required by the supervising ophthalmologist and/or sub-specialist. Use approved medical abbreviations. May scribe for the physician.
  • Visual Acuity Testing: Perform visual acuity testing to determine the basic ability of a person to see both near and far, with and without correction. Conduct pinhole acuity test, glare test, and potential acuity test (e.g. BAT, PAM) Measure vision without charts (CF, HM, LP, etc.).
  • Lensometry: Apply basic optics necessary to measure the power of corrective lenses using automated or manual lensometers. Verify spectacle lens power, bifocal addition power, mark optical centers, and detect prism, if present. Measure base curves.
  • Visual Field testing: Perform confrontation visual field and screening tests using automated and/or Frequency Doubling perimetry. Detect central field abnormalities with an Amsler Grid. Diagram confrontation field defects.
  • Tonometry: Demonstrate proper aseptic technique and measure intraocular pressure with non-contact, digital and/or Goldmann applanation tonometers. Calibrate TonoPen.
  • Instrument maintenance and repair: Care for, maintain, and perform minor servicing of exam room equipment. Maintain records, equipment manuals, and repair logs. Restock supplies as rooms are opened; protect and properly store instruments as rooms are closed. Replace light bulbs and fuses as needed.. Other specialized tests: Perform color vision testing with color plates. Measure pupil size and detect abnormalities in pupil reaction. Estimate anterior chamber depth by slit lamp evaluation. Obtain measurements using automated refractors and/or keratometers. Measure stereopsis with Titmus test. Evaluate reflex tear production with Schirmer’s test strips. Measure corneal thickness with digital (ultrasonic) pachymeter.
  • Other patient services: Coordinate patient flow and appointments. Apply and remove eye dressings and shields. Instill drops and ointment into patient’s eye as directed for completion of diagnostic evaluation of patient by ophthalmologist. Recognize the symptoms of allergic reactions to medications. Follow department protocol on prescription refill processing. Measure and record vital signs (blood pressure, pulse, and respirations). Provide patient education on tests – why done, when results are expected. Participate in telephone triage and assist trauma patients. May perform minor repairs of spectacles.
  • Contact lens assisting: Take history from the patient on contact lens wear and identify problems. Perform visual acuity with contacts. Instruct patients on insertion, removal, care, and solutions for all types of lenses. Insert trial contact lenses. Order contact lenses for patients per doctor specifications and initiate purchase orders. Maintain contact lens stock and patient files. Care for contact lenses and ocular prosthetics and instruct patients in contact lens insertion and removal.
  • Refractometry: Enter spectacle data into a Phoropter. Refine spectacle correction or automated findings using a Phoropter.
  • Ocular Motility: Measure near point of convergence.
  • Photography: Identify instruments used for imaging in the eye. Set up for, explain, and prepare patient for intravenous fluorescein angiography (IVFA). Recognize and respond to possible complications of IVFA.
  • Surgical Assisting: Set up and assist in non-refractive laser surgery (argon, YAG, etc.) and minor surgery. Prepare instrument tray for minor surgical procedures. Disinfect lenses and instruments that make contact with the eye.
  • Maintain surgical instruments in accordance with OSHA standards. Properly gown and glove self and assist others in gowning and gloving. Select proper instruments using physician’s preference for common ocular surgical procedures. Drape an ophthalmic surgical patient. Identify the sterile field and instruments and maintains aseptic technique. Clean, prepare, package, and sterilize microsurgical instruments.
  • Performs other related duties as required.


  • Visual/hearing/verbal requirements: The ability to see details of objects at a close range (within a few feet of the observer). The ability to listen to and understand information and ideas presented through spoken words and sentences. Ability to communicate information and ideas in speaking so others will understand during test procedures, in taking patient histories, and in performing tests on patients.
  • The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects
  • Manual dexterity is required to operate various equipment in the performance of duties.
  • Attention to detail necessary due to the exacting nature of the position. Ability to find information and identify essential information in managing patient information.
  • Mentoring and coaching to help other employees gain competencies and overcome barriers to improving current job performance is also expected of all certified personnel.


  • Certification as an Ophthalmic Assistant by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO); or certification as a Registered Optometric Assistant (OAR); or certification as a Registered Optometric Technician is required.
  • Failure to retain certification will result in reclassification to a non-certified Eye Care Assistant with appropriate change in pay. If certification eligible, candidate will be hired as a non-certified Eye Care Assistant.


       Under the leadership of President and CEO Wright L. Lassiter, III, Henry Ford Health System is a

       $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

       including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

       other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

       now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

       of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

       health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s  

       major academic medical centers, receiving between $90-$100 million in annual research funding and

       remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

       education and training, the health system has trained nearly 40% of physicians currently practicing

       in the state and also provides education and training for other health professionals including nurses,

       pharmacists, radiology and respiratory technicians. visit HenryFord.com.


       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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