Book III: Medical auxiliaries, nursing auxiliaries, childcare auxiliaries, ambulance drivers and dental assistants

The organisational protocol describes the medical situations concerned and the orthoptic procedures required.

When the protocol is used for the follow-up by the orthoptist of a patient whose visual pathology has already been diagnosed, without an ophthalmological examination being carried out on the same day, in order to check that the condition remains stabilised, it specifies : 1° The length of time after which an ophthalmological medical examination is necessary; 2° The situations in which the protocol may be terminated, in particular in…

The orthoptist alone is authorised, on medical prescription or within the framework of an organisational protocol defined in this section, to draw up an assessment which includes the orthoptic diagnosis, the objective and the treatment plan. This assessment, together with the choice of appropriate procedures and techniques, is communicated to the prescribing doctor. An orthoptic assessment involves studying the sensory, motor and functional aspects of vision. As part of this…

The orthoptist alone is authorised, on medical prescription and after carrying out the assessment described in Article R. 4342-2, to provide orthoptic treatment for : 1° strabismus ; 2° oculomotor paralysis ; 3° amblyopia ; 4° Heterophoria ; 5° Binocular vision disorders and imbalances; 6° neurosensorial, fusional and accommodative disorders; 7° Eye orientation and eye movement disorders; 8° Neuro-ophthalmological or neuro-visual disorders; 9° Neuro-ophthalmological consequences of general pathologies; 10° Visual…

On medical prescription, or within the framework of an organisational protocol defined in this section, the orthoptist is authorised to : 1° Determining visual acuity and refraction, with or without dilatation, the medicines required for this being prescribed by the doctor; 2° Irrigate the eye and instil eye drops; 3° Collecting lacrimal secretions; 4° Carry out training sessions in the handling and fitting of ocular contact lenses and scleral lenses.

Orthoptists are authorised, on medical prescription or within the framework of an organisational protocol defined in this section, to perform the following professional acts: 1° Perimetry ; 2° Campimetry ; 3° Study of contrast sensitivity and night vision; 4° Investigation of the chromatic sense; 5° Mydriatic and non-mydriatic retinography. The necessary medication is prescribed by the doctor; 6° Non-contact tonometry. The prescribing doctor or an ophthalmologist who has signed the…

Orthoptists are authorised, on medical prescription or within the framework of an organisational protocol defined in this section, to perform the following professional acts: 1° Non-contact corneal pachymetry ; 2° Recording eye movements ; 3° Ocular optical coherence tomography ; 4° Corneal topography; 5° Non-contact preoperative ocular biometry; 6° Non-contact specular examination of the cornea; 7° Ocular aberrometry ; 8° Photograph of the anterior segment of the eye and the…

The orthoptist is authorised, on medical prescription or within the framework of an organisational protocol defined in this section, to take part, under the responsibility of a doctor who is able to check that it is being carried out and to intervene immediately, in recordings made during the following functional explorations: 1° Retinal angiography, with the exception of the injection which is carried out by an authorised health professional ;…

Depending on the sectors of activity in which they practise and the needs encountered, orthoptists take part, within the framework of the acts provided for in articles R. 4342-1 to R. 4342-7, in various educational, preventive, screening, training, research and supervisory activities. These actions concern in particular : 1° Initial and continuing training of orthoptists ; 2° Contributing to the training of other professionals; 3° Collaboration, in particular with other…

I.- When renewing an orthoptic prescription, the orthoptist may, after carrying out a refraction examination and unless the doctor expressly states otherwise on the prescription, adapt the optical corrections of initial medical prescriptions for ocular contact lenses that are less than: 1° One year old, for patients aged under 16; 2° Three years old, for patients aged 16 and over. II.-For the renewal of equipment, the orthoptist may, after carrying…