PEDIATRICS Vol. 81 No. 3 March 1988, pp. 474
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Health Assessment and Screening During Adolescence

STEVEN E. RUBIN MD1

1 Pediatric Ophthalmology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, NY 11042

To the Editor.—

In the recommendations for health screening for Adolescence (Pediatrics 1987;88:146), vision testing is appropriately recommended. However, it is suggested by the authors that these patients be referred to optometrists or ophthalmologists if abnormalities are detected. As you know, optometrists are not physicians and hence do not receive the same degree of intensive training received by ophthalmologists and pediatric ophthalmologists, and they are not licensed to practice medicine or surgery. In my opinion, the level of care delivered by such a nonphysician does not approach that which can be delivered by physician specialists and subspecialists.